NPI age
19 years
Enumerated 2007-03-25
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00815075B | |
| 01 (GA) | 0007493308 | AETNA |
| 01 (GA) | 52667599 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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