NPI age
19 years
Enumerated 2006-09-27
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | P00063014 | RAILROAD MEDICARE |
| 01 (GA) | 52619573-004 | B/C B/S OF GA |
| 01 (GA) | 000791062G | MEDICAID |
Solo or small practice. No other active providers share this practice address in NPPES.
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