NPI age
20 years
Enumerated 2005-12-29
Across 643 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 005857 | BLUE CROSS BLUE SHIELD |
| 05 (NC) | 890633G | |
| 01 (GA) | 122605 | UNITED HEALTHCARE |
| 05 (GA) | 376554453A |
Part of a multi-provider practice. 48 other active providers share this practice address in NPPES.
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