NPI age
19 years
Enumerated 2006-11-29
Across 661 active general practice providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 52235849 | BCBS |
| 05 (NC) | 890533E | |
| 05 (GA) | 00325234H |
Single-site organization. Only one practice location on file.
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