NPI age
19 years
Enumerated 2006-12-08
Across 221 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (AL) | 164535 | |
| 05 (GA) | 003149248A |
Part of a multi-provider practice. 164 other active providers share this practice address in NPPES.
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