NPI age
16 years
Enumerated 2010-03-30
Across 104 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 1033434378 | |
| 05 (SC) | NC1989 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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