NPI age
20 years
Enumerated 2005-09-06
Across 1389 active surgery providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | 020049954 | RR MEDICARE |
| 05 (FL) | 261575400 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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