NPI age
20 years
Enumerated 2006-05-09
Across 483 active pathology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (WV) | 3810005394 | |
| 01 (WV) | 001868143 | MTN. STATE BCBS |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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