NPI age
19 years
Enumerated 2006-06-16
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (OH) | 2509744 | MOLINA MEDICAID |
| 01 | 310917085079 | OH MEDICAID CARESOURCE |
| 01 (OH) | 000000185268 | UNISON MEDICAID |
| 01 | 001714162 | MOUNTAIN STATE BCBS |
| 01 | 000000343883 | ANTHEM BCBS |
| 01 | P00158638 | RR MEDICARE |
| 05 (WV) | 3810000767 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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