NPI age
13 years
Enumerated 2012-08-28
Across 5027 active internal medicine providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 81357 | LICENSE |
Part of a multi-provider practice. 851 other active providers share this practice address in NPPES.
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