NPI age
19 years
Enumerated 2007-01-18
Across 655 active clinic/center providers in Georgia.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 610247700 | OWCP-DCMWC |
| 05 (GA) | 000778016C |
Multi-provider organization. 3 individual providers on file at this primary address.
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