NPI age
11 years
Enumerated 2014-06-09
Across 105 active internal medicine providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | LL37004 | SOUTH CAROLINA LIMITED MEDICAL LICENSE |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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