NPI age
19 years
Enumerated 2006-07-10
Across 563 active urology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (KY) | 64102197 | |
| 01 (KY) | 4000501 | MEDICARE LAB GROUP |
| 01 (KY) | ASC1019 | MEDICARE ASC GROUP |
| 01 (KY) | 37903705 | MEDICAID LAB GROUP |
| 01 | CB5773 | RR MEDICARE GROUP |
| 01 (KY) | 36000818 | MEDICAID ASC GROUP |
| 01 | P00241289 | RR MEDICARE PIN |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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