NPI age
20 years
Enumerated 2005-08-10
Across 2726 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 0580441 | AETNA SELECT/US HEALTHC |
| 01 | 498289 | FEP/BLUE CROSS BLUE SHIEL |
| 01 | 4542188 | AETNA |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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