NPI age
20 years
Enumerated 2005-10-03
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 055003709D | |
| 05 (GA) | 055003709E | |
| 05 (GA) | 055003709C | |
| 01 (GA) | 018479 | LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES.
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