NPI age
17 years
Enumerated 2008-07-25
Across 15 active orthopaedic surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (KY) | 7100172640 | |
| 05 (IN) | 201033400 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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