NPI age
20 years
Enumerated 2006-02-27
Across 1151 active orthopaedic surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000221878D | |
| 01 (GA) | 017261 | BCBS |
| 01 (GA) | P00354400 | MEDICARE-RR |
| 05 (GA) | 000221878E | |
| 01 (GA) | 22249 | STATE LICENSE |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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