NPI age
21 years
Enumerated 2005-05-23
Across 5448 active family medicine providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 981235 | BCBS |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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