NPI age
19 years
Enumerated 2006-05-31
Across 187 active pediatrics providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 385001801 | |
| 01 (GA) | 4519014 | AETNA |
| 01 (GA) | 374271 | CIGNA |
| 01 (GA) | 1972540060 | UNITED HEALTHCARE |
| 01 (GA) | 01208122 | AMERIGROUP |
| 05 (GA) | 247262164F | |
| 01 (GA) | 459338 | WELLCARE |
| 01 (GA) | 52703314 | BCBS |
Part of a multi-provider practice. 689 other active providers share this practice address in NPPES.
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