NPI age
19 years
Enumerated 2006-06-14
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 110228403 | RR MEDICARE |
| 01 (GA) | 349736 | WELLCARE |
| 05 (GA) | 000933083A | |
| 01 (GA) | 10063589 | AMERIGROUP |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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