NPI age
20 years
Enumerated 2005-09-08
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 202I080456 | MEDICARE PTAN |
| 05 (GA) | 403610618A,B | |
| 05 (GA) | 403610618 |
Part of a multi-provider practice. 54 other active providers share this practice address in NPPES.
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