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Georgia House

NPI 1588219638 · on the registry since 2019

Practice

Address
110 International Dr
Athens, GA 30605
Phone
(770) 773-5946
Clinicians at this address
2

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia