NPI age
20 years
Enumerated 2006-03-29
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (NY) | 02641514 | |
| 05 (VA) | 1174584221 | |
| 01 (VA) | 223858253 | TAX ID |
Part of a multi-provider practice. 445 other active providers share this practice address in NPPES.
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