NPI age
19 years
Enumerated 2007-03-08
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52624568002 | BLUE CROSS BLUE SHIELD |
| 05 (GA) | 00685033J | |
| 01 (GA) | 10033956 | AMERIGROUP |
Solo or small practice. No other active providers share this practice address in NPPES.
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