NPI age
20 years
Enumerated 2006-01-18
Across 494 active internal medicine providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52584815 | BCBS |
| 01 (GA) | P00021052 | RR MEDICARE-GRP # CC4177 |
| 01 (GA) | 10045328 | AMERIGROUP |
| 01 (GA) | 3600053 | UNITED HEALTHCARE |
| 01 (GA) | 340864 | WELLCARE |
| 01 (GA) | 4408586 | AETNA |
| 01 (GA) | 5803210 | CIGNA |
| 01 (GA) | 11170947 | MULTIPLAN |
Solo or small practice. No other active providers share this practice address in NPPES.
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