NPI age
19 years
Enumerated 2006-09-15
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 98240 | GA MEDICAL LICENSE |
| 05 (LA) | 1099597 | |
| 01 (LA) | 1154427342 | NPI NUMBER |
Solo or small practice. No other active providers share this practice address in NPPES.
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