NPI age
19 years
Enumerated 2006-11-21
Across 1389 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000306083 | |
| 05 (AL) | 150235 | |
| 01 (GA) | 02BDJHR | MEDICARE PTAN |
Part of a multi-provider practice. 95 other active providers share this practice address in NPPES.
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