NPI age
20 years
Enumerated 2006-01-20
Across 952 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (AL) | 12522 | LICENSE |
| 01 (GA) | 28038 | LICENSE |
| 05 (GA) | 000311583K | |
| 05 (AL) | 168798 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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