NPI age
20 years
Enumerated 2005-12-06
Across 408 active prosthetic/orthotic supplier providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (TN) | 3541423 | |
| 01 (GA) | 483452058B | MEDICAID |
| 01 (TN) | 3141176 | BCBST |
Single-site organization. Only one practice location on file.
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