NPI age
20 years
Enumerated 2006-03-10
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 930071441 | RAILROAD MEDICARE |
| 01 (GA) | 598745 | BLUE CROSS BLUE SHIELD |
| 05 (GA) | 000804328E | |
| 05 (FL) | 254800300 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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