NPI age
19 years
Enumerated 2007-01-08
Across 138 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GU) | 000913052C | |
| 05 (GA) | 000913052D | |
| 05 (GA) | 000913052B |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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