NPI age
13 years
Enumerated 2012-06-15
Across 268 active surgery providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 97125 | GEORGIA COMPOSITE MEDICAL BOARD |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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