NPI age
20 years
Enumerated 2006-02-27
Across 807 active ophthalmology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 18BDGMD | MEDICARE |
| 05 (GA) | 564351201A | |
| 01 (GA) | 52183193-001 | BLUE CROSS/BLUE SHIELD |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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