NPI age
21 years
Enumerated 2005-05-27
Across 1389 active surgery providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000775189C | |
| 01 (GA) | 000775189D | PEACH STATE |
| 05 (GA) | 000775189O | |
| 01 (GA) | 01053251 | AMERIGROUP |
| 01 (GA) | 52636812 | BCBS |
| 01 (GA) | 571688 | COVENTRY |
| 01 (GA) | P00416162 | MEDICARE RAILROAD |
| 01 (GA) | 1771991 | UHC |
| 05 (GA) | 000775189D | |
| 05 (GA) | 000775189F | |
| 05 (GA) | 000775189E | |
| 01 (GA) | 34602 | WELLCARE |
| 01 (GA) | 000775189C | PEACH STATE |
| 01 (GA) | 1690000 | CIGNA |
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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