NPI age
19 years
Enumerated 2006-11-17
Across 5027 active internal medicine providers in Georgia.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 280803795J | |
| 01 (GA) | GRP4787 | MEDICARE PTAN HOSPITALIST OF DUBLIN |
| 01 (GA) | 055870 | GA STATE LICENSE |
| 01 (GA) | 05390548 | AMERIGROUP |
| 01 (GA) | 11674408 | CAQH |
| 05 (GA) | 280803795A | |
| 01 (GA) | 1539774 | WELLCARE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →