NPI age
10 years
Enumerated 2015-08-11
Across 1405 active specialist/technologist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 040502010 | NATABOC |
| 01 (GA) | AT001364 | SECRETARY OF STATE |
Solo or small practice. No other active providers share this practice address in NPPES.
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