NPI age
19 years
Enumerated 2007-01-23
Across 2003 active durable medical equipment & medical supplies providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00919553A | |
| 01 (GA) | N343442 | WELLCARE |
| 01 (GA) | 138773 | PEACHSTATE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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