NPI age
19 years
Enumerated 2006-06-01
Across 85 active emergency medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (MI) | 104939432 | |
| 01 (IN) | 000000383704 | ANTHEM BLUE CROSS |
| 05 (IN) | 200483850 |
Part of a multi-provider practice. 34 other active providers share this practice address in NPPES.
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