NPI age
20 years
Enumerated 2005-07-20
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 511045 | BC/BS |
| 01 (GA) | 10058785 | AMERIGROUP |
| 01 (GA) | 341631 | WELLCARE |
| 05 (GA) | 000360687C |
Part of a multi-provider practice. 32 other active providers share this practice address in NPPES.
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