NPI age
12 years
Enumerated 2014-04-01
Across 563 active urology providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 1881012391 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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