NPI age
20 years
Enumerated 2006-02-15
Across 17 active radiology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000887851B | |
| 01 (GA) | 790123 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 174 other active providers share this practice address in NPPES.
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