NPI age
20 years
Enumerated 2006-03-16
Across 5027 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000677443E | |
| 05 (GA) | 000677443D | |
| 01 (GA) | 110212504 | RAILROAD MEDICARE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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