NPI age
16 years
Enumerated 2009-08-21
Across 952 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (IN) | P01678721 | MEDICARE RAILROAD PTAN |
| 05 (IN) | 201112750 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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