NPI age
20 years
Enumerated 2006-02-01
Across 1389 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (MI) | 4771500 | |
| 01 (MI) | 17-00312 | PHP |
| 01 (MI) | 700A910020 | BCBS |
| 01 (MI) | 7755233 | AETNA |
| 01 (MI) | 0201914342 | BCN |
| 01 (MI) | CC2666 | RAILROAD MEDICARE |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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