NPI age
20 years
Enumerated 2005-09-21
Across 267 active obstetrics & gynecology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | G45052 | MEDICAID |
| 05 (GA) | 00914955B |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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