NPI age
19 years
Enumerated 2006-07-11
Across 952 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 4306503 | AETNA PPO |
| 05 (SC) | G36501 | |
| 01 (GA) | 0119833-003 | CIGNA |
| 05 (GA) | 00540031A | |
| 01 (GA) | 2089936 | AETNA HMO |
| 01 (GA) | 451230 | GA BCBS |
Part of a multi-provider practice. 46 other active providers share this practice address in NPPES.
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