NPI age
18 years
Enumerated 2008-04-29
Across 2726 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 5918073 | |
| 05 (SC) | NC1447 | |
| 05 (GA) | 003123988C |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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