NPI age
20 years
Enumerated 2005-07-26
Across 187 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 31222929007 | CIGNA |
| 01 (GA) | 52012797-02 | BCBS |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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