NPI age
20 years
Enumerated 2005-09-20
Across 1389 active surgery providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 525023 | BS OF GA |
| 01 (GA) | 511G700378 | GROUP PROVIDER TRANSACTION ACCESS NUMBER ( PTAN) |
| 05 (GA) | 000193278A | |
| 01 (GA) | 020022209 | RAILROAD MEDICARE |
Multi-provider organization. 1 individual provider on file at this primary address.
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