NPI age
17 years
Enumerated 2008-05-27
Across 96 active internal medicine providers in Georgia.
6 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | 4236662 | BCBS |
| 05 (KY) | 7100070430 | |
| 05 (TN) | 1514694 |
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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