NPI age
20 years
Enumerated 2006-01-20
Across 96 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 329963 | WELLCARE |
| 01 (GA) | 3600016 | UNITED HEALTHCARE |
| 01 (GA) | 10044870 | AMERIGROUP |
| 01 (GA) | 110231727 | RR MEDICARE-GRP # CC4177 |
| 01 (GA) | 52668899 | BCBS |
| 05 (GA) | 000847547B | |
| 01 (GA) | 3780410 | CIGNA |
| 05 (GA) | 000847547A |
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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