NPI age
20 years
Enumerated 2005-07-11
Across 1389 active surgery providers in Georgia.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | G20691 | |
| 05 (GA) | 000263898C |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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