NPI age
19 years
Enumerated 2006-06-20
Across 562 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 955029596AA | |
| 05 (GA) | 955029596O | |
| 01 (GA) | 057561 | STATE LICENSE |
| 05 (GA) | 955029596F | |
| 05 (GA) | 955029596W | |
| 05 (GA) | 955029596M | |
| 05 (GA) | 955029596Q | |
| 05 (GA) | 955029596L | |
| 05 (GA) | 955029596S | |
| 05 (GA) | 955029596A | |
| 05 (GA) | 955029596B | |
| 05 (GA) | 955029596C | |
| 05 (GA) | 955029596I | |
| 05 (GA) | 955029596N | |
| 05 (GA) | 955029596R | |
| 05 (GA) | 955029596T | |
| 05 (GA) | 955029596U | |
| 05 (GA) | 955029596X | |
| 05 (GA) | 955029596Y | |
| 05 (GA) | 955029596P | |
| 05 (GA) | 955029596V |
Part of a multi-provider practice. 178 other active providers share this practice address in NPPES.
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