NPI age
19 years
Enumerated 2006-11-07
Across 267 active obstetrics & gynecology providers in Georgia.
9 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 0341611 | STATE LICENSE |
| 05 (GA) | 00470874B |
Multi-provider organization. 9 individual providers on file at this primary address.
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