NPI age
19 years
Enumerated 2006-10-20
Across 313 active neurological surgery providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | P01075686 | RR MEDICARE |
| 01 (GA) | 676904 | WELLCARE |
| 05 (GA) | 000793482E | |
| 01 (GA) | 01650081 | AMERIGROUP |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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