NPI age
20 years
Enumerated 2005-08-03
Across 5027 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 58-1762046 | GEORGIA CLINIC, PC /GROUP TAX ID |
| 05 (GA) | 270046459G | |
| 05 (GA) | 270046459F |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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