NPI age
19 years
Enumerated 2006-09-21
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00571128B | |
| 05 (SC) | G37682 |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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