NPI age
17 years
Enumerated 2008-10-07
Across 13 active ophthalmology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 66199 | MEDICAL LICENSE |
| 01 (FL) | ME106774 | MEDICAL LICENSE |
| 01 (CA) | A104413 | CALIFORNIA MEDICAL LICENSE |
Part of a multi-provider practice. 851 other active providers share this practice address in NPPES.
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