NPI age
20 years
Enumerated 2005-11-29
Across 1389 active surgery providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (WV) | 3810001643 | |
| 01 | D7081 | MEDCOST |
| 05 (VA) | 10139899 | |
| 01 | 804840 | PARTNERS |
| 01 | P00253280 | RR MEDICARE |
| 05 (SC) | Q01335 | |
| 05 (IL) | 036147175 | |
| 01 | 7073680 | AETNA |
| 05 (NC) | 89137Y9 | |
| 01 | 137Y9 | BCBS |
Part of a multi-provider practice. 851 other active providers share this practice address in NPPES.
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