NPI age
10 years
Enumerated 2016-03-24
Across 1991 active emergency medicine providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (PA) | MT217742 | TRAINING LICENSE |
Part of a multi-provider practice. 44 other active providers share this practice address in NPPES.
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