NPI age
19 years
Enumerated 2006-10-16
Across 1333 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1891875878 | MEDICARE NPI |
| 05 (GA) | 476568664A | |
| 01 (GA) | CG6045 | RAILROAD MEDICARE GROUP ID |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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