NPI age
19 years
Enumerated 2006-10-19
Across 1712 active anesthesiology providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 339463 | WELLCARE CMO |
| 01 (GA) | 198493 | BCBS |
| 05 (SC) | G57090 | |
| 01 (GA) | P00320036 | RRMEDICARE |
| 05 (GA) | 107336457A | |
| 05 (GA) | 107336457B | |
| 01 (GA) | 550789920 | TRICARE |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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