NPI age
13 years
Enumerated 2012-10-11
Across 5027 active internal medicine providers in Georgia.
8 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00875476A | |
| 01 (GA) | 11BDRTP | MEDICARE PTAN |
Multi-provider organization. 8 individual providers on file at this primary address.
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