NPI age
19 years
Enumerated 2006-08-31
Across 2726 active pediatrics providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 102002 | BCBS - EAPC |
| 05 (GA) | 752710901A | |
| 01 (GA) | 37BBGMH | MEDICARE ID PEDIATRICS |
| 01 (GA) | 52002201 | BCBS - LMAC |
| 01 (GA) | 7688493 | AETNA |
| 01 (GA) | P00051346 | RR MCARE |
Part of a multi-provider practice. 67 other active providers share this practice address in NPPES.
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