NPI age
17 years
Enumerated 2008-09-08
Across 643 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | GA1780 | SC MEDICAID |
| 05 (GA) | 003163130A |
Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.
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