NPI age
20 years
Enumerated 2005-09-15
Across 952 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 450825074E | |
| 05 (GA) | 450825074M | |
| 05 (GA) | 450825074K | |
| 05 (GA) | 450825074N | |
| 05 (GA) | 450825074O |
Part of a multi-provider practice. 71 other active providers share this practice address in NPPES.
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