NPI age
21 years
Enumerated 2005-05-24
Across 952 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 110033309 | RAILROAD MEDICARE |
| 01 (GA) | 4216134 | AETNA |
| 01 (GA) | TAX ID NUMBER | UNITED HEALTHCARE |
| 01 (GA) | TAX ID NUMBER | CIGNA |
| 01 (GA) | 484268 | BCBS |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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