NPI age
18 years
Enumerated 2007-08-15
Across 2726 active pediatrics providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 823617519A | |
| 01 | 582162071-059 | TRICARE AFFILIATION ID |
| 01 (GA) | 01358332 | AMERIGROUP |
| 05 (SC) | GA1077 | |
| 01 (GA) | P00819755 | RR MEDICARE |
Part of a multi-provider practice. 270 other active providers share this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →