NPI age
20 years
Enumerated 2006-05-17
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8W8852 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 175370901 | |
| 05 (TX) | 175370903 | |
| 05 (TX) | 175370902 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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