NPI age
20 years
Enumerated 2006-05-17
Across 1280 active radiology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (IN) | P00414287 | MEDICARE RR |
| 01 (IN) | 000000526572 | ANTHEM |
| 05 (IN) | 200882040 |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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