NPI age
18 years
Enumerated 2007-12-01
Across 1280 active radiology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 511I300173 | MEDICARE ID |
| 05 (GA) | 279645585 |
Part of a multi-provider practice. 100 other active providers share this practice address in NPPES.
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