NPI age
20 years
Enumerated 2005-11-30
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 005-114-09B | |
| 01 (GA) | 52415033 002 | BCBS PROVIDER NUMBER |
Single-site organization. Only one practice location on file.
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