NPI age
20 years
Enumerated 2006-05-19
Across 539 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | 907843 | |
| 05 (GA) | 00119721B |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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