NPI age
18 years
Enumerated 2008-02-26
Across 5027 active internal medicine providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00565672H | |
| 01 (GA) | 0400245 | UNITED HEALTHCARE |
| 01 | 52480569 | BLUECROSS |
| 01 | 4789 | KAISER |
Multi-provider organization. 1 individual provider on file at this primary address.
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