NPI age
20 years
Enumerated 2006-01-05
Across 1712 active anesthesiology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (IL) | 036110320 | |
| 01 (IL) | 036110320 | BC OF IL |
Part of a multi-provider practice. 169 other active providers share this practice address in NPPES.
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