NPI age
20 years
Enumerated 2006-04-28
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000798289E | |
| 01 (GA) | P00283240 | MEDICARE RAILROAD PROV # |
| 01 (GA) | 52269585011 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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