NPI age
18 years
Enumerated 2007-06-26
Across 5 active physical medicine & rehabilitation providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (OH) | 0093409 | |
| 05 (AK) | 1615781 |
Solo or small practice. No other active providers share this practice address in NPPES.
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