NPI age
17 years
Enumerated 2009-05-16
Across 1389 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 015277400 | |
| 05 (IN) | 201225320 |
Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.
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