NPI age
19 years
Enumerated 2007-04-20
Across 1881 active specialist providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 826405 | BLUE CROSS BLUE SHIELD |
| 05 (GA) | 319585 |
Multi-provider organization. 1 individual provider on file at this primary address.
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