NPI age
19 years
Enumerated 2006-08-03
Across 315 active pain medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | 1074660 | CAQH |
| 01 (FL) | 41862 | BCBS |
| 01 | 1861400459 | NPI |
| 01 (FL) | 6754544 | CIGNA |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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