NPI age
13 years
Enumerated 2013-03-16
Across 221 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003218677B | |
| 05 (SC) | GPB283 |
Part of a multi-provider practice. 168 other active providers share this practice address in NPPES.
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