NPI age
18 years
Enumerated 2007-10-18
Across 56 active surgery providers in Georgia.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | GP3922 | |
| 05 (GA) | 00349907B |
Multi-provider organization. 2 individual providers on file at this primary address.
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