NPI age
19 years
Enumerated 2006-06-29
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 4245536 | AETNA NUMBER |
| 01 | 1588300 | CIGNA NUMBER |
| 01 (GA) | 480768 | BCBS NUMBER |
| 01 | 0106401 | UNITED HEALTHCARE NUMBER |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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