NPI age
19 years
Enumerated 2006-07-22
Across 952 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 027042 | GA LICENSE |
| 05 (GA) | 000399154B |
Part of a multi-provider practice. 56 other active providers share this practice address in NPPES.
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