NPI age
19 years
Enumerated 2007-01-19
Across 450 active otolaryngology providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 341151 | WELLCARE |
| 05 (GA) | 000888225A |
Solo or small practice. No other active providers share this practice address in NPPES.
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