NPI age
20 years
Enumerated 2006-04-26
Across 5027 active internal medicine providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 300035685A | |
| 01 (TN) | 4064254 | BCBST |
| 05 (TN) | 3863934 |
Multi-provider organization. 1 individual provider on file at this primary address.
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