NPI age
18 years
Enumerated 2007-08-05
Across 1389 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 675260995 | |
| 05 (LA) | 1067717 | |
| 05 (AL) | 148772 | |
| 01 (GA) | 202I024575 | MEDICARE PTAN |
Part of a multi-provider practice. 32 other active providers share this practice address in NPPES.
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