NPI age
19 years
Enumerated 2006-11-20
Across 952 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (MO) | P00853581 | MEDICARE RAILROAD |
| 05 (MO) | 1205901030 | |
| 01 (MO) | P01100630 | RAILROAD MEDICARE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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