NPI age
20 years
Enumerated 2006-05-05
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 330280617A | |
| 01 (VA) | P00249957 | RR MEDICARE |
Part of a multi-provider practice. 181 other active providers share this practice address in NPPES.
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