NPI age
19 years
Enumerated 2006-06-16
Across 539 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (AL) | 009984970 | |
| 01 (GA) | 046128 | GEORGIA LICENSE |
| 05 (GA) | 000944974B | |
| 05 (GA) | 000944974A |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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