NPI age
14 years
Enumerated 2011-09-12
Across 2449 active community/behavioral health providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000696847E | |
| 05 (GA) | 000696847D | |
| 05 (GA) | 000696847A | |
| 05 (GA) | 000696847F |
Single-site organization. Only one practice location on file.
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