NPI age
15 years
Enumerated 2011-05-12
Across 562 active internal medicine providers in Georgia.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 87755 | GA STATE LICENSE |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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