NPI age
19 years
Enumerated 2006-08-30
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00181596A | |
| 01 | 85001571G | GBHC |
| 01 | 019847 | STATE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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