NPI age
10 years
Enumerated 2016-01-04
Across 14 active supports brokerage providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (MA) | 1124425350 | NPI |
| 01 (MA) | 1932541729 | NPI |
| 01 (MA) | 1417262056 | NPI |
Single-site organization. Only one practice location on file.
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