NPI age
19 years
Enumerated 2006-06-24
Across 5448 active family medicine providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 504598094C | |
| 01 | 582203199-004 | TRICARE-URGENTONE-SAVANNAH |
| 05 (SC) | G57965 | |
| 01 (GA) | 52210441-001 | BCBS-URGENTONE-SAVANNAH |
| 05 (GA) | 504598094D | |
| 01 (GA) | 52210441-002 | BCBS-URGENTONE-POOLER |
| 01 | 582203199-009 | TRICARE-URGENTONE-POOLER |
| 01 (GA) | P00394395 | RR MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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