NPI age
20 years
Enumerated 2006-04-04
Across 1893 active obstetrics & gynecology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (MA) | 210973 | STATE LIMITED LISENCE |
| 05 (SC) | 278050 | |
| 01 (GA) | 073084 | STATE LICENSE |
| 01 (SC) | 27805 | STATE LISENCE |
| 01 (SC) | 20-27805 | STATE CONTROLLED SUBST |
Part of a multi-provider practice. 25 other active providers share this practice address in NPPES.
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