NPI age
17 years
Enumerated 2008-07-11
Across 494 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 202I908445 | MEDICARE PTAN |
| 05 (GA) | 555123844F | |
| 05 (GA) | 555123844K |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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