NPI age
20 years
Enumerated 2006-02-15
Across 1151 active orthopaedic surgery providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000509825C | |
| 01 (GA) | 280545 | BCBSGA |
| 01 (GA) | 200035713 | RAILROAD MEDICARE |
| 01 | 372315400 | WORKERS' COMPENSATION |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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