NPI age
7 years
Enumerated 2019-04-10
Across 5448 active family medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 1891258471 | |
| 05 (TN) | Q075158 | |
| 05 (GA) | 003221439B |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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