NPI age
19 years
Enumerated 2006-10-26
Across 1024 active hospitalist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 11DO266342 | CLIA LAB NUMBER |
| 01 (GA) | GRP1474 | MEDICARE GROUP NUMBER |
| 05 (GA) | 642318048A |
Part of a multi-provider practice. 28 other active providers share this practice address in NPPES.
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