NPI age
20 years
Enumerated 2006-01-05
Across 643 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000872066A | |
| 01 (GA) | 52420599-002 | BCBS |
| 01 (GA) | 681242 | FIRST HEALTH |
| 01 (GA) | 4653853 | AETNA |
| 01 (GA) | 1007287 | UNITED HEALTHCARE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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