NPI age
19 years
Enumerated 2006-07-06
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000473943I | |
| 01 (GA) | 08BBRSQ | UNKNOWN |
| 01 (GA) | GRP7284 | PTAN |
Part of a multi-provider practice. 38 other active providers share this practice address in NPPES.
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