NPI age
20 years
Enumerated 2006-03-21
Across 151 active allergy & immunology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | G40378 | |
| 05 (GA) | 000699377D | |
| 01 | 030004121 | RAILROAD MEDICARE |
| 01 (GA) | 768016 | BLUECROSS BLUE SHIELD |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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