NPI age
20 years
Enumerated 2006-05-18
Across 1280 active radiology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (NV) | CC7822 | BCBS |
| 01 (NV) | 199225 | WC |
| 01 (NV) | CC7821 | BCBS |
| 05 (NV) | 100506512 | |
| 01 (NV) | 200307 | WC |
Part of a multi-provider practice. 90 other active providers share this practice address in NPPES.
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