NPI age
20 years
Enumerated 2006-01-20
Across 2726 active pediatrics providers in Georgia.
6 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 302580 | WELLCARE |
| 01 (GA) | 10032998 | AMERIGROUP |
| 01 (GA) | 302568 | WELLCARE |
| 01 (GA) | 302579 | WELLCARE |
| 01 (GA) | 5779768 | AETNA PPO |
| 05 (GA) | 845371853D | |
| 01 (GA) | 3548885 | CIGNA |
| 01 (GA) | 52703273 | BCBS |
| 05 (GA) | 845371853B | |
| 01 (GA) | 3532508 | AETNA HMO |
| 05 (GA) | 845371853A | |
| 01 (GA) | 1908730 | UHC |
| 05 (GA) | 845371853C | |
| 01 (GA) | 302581 | WELLCARE |
| 05 (GA) | 845371853F |
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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