NPI age
19 years
Enumerated 2007-02-27
Across 1280 active radiology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | P00882624 | RR MEDICARE |
| 05 (GA) | 793905377J |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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