NPI age
19 years
Enumerated 2006-12-12
Across 205 active clinic/center providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000651285C | |
| 05 (GA) | 00651285F | |
| 05 (GA) | 813811787A |
Single-site organization. Only one practice location on file.
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