NPI age
21 years
Enumerated 2005-05-23
Across 104 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 200035470A | |
| 05 (TN) | 5440212 | |
| 05 (VA) | 010170231 | |
| 05 (MO) | 204753313 | |
| 05 (TX) | 174369201 | |
| 05 (KS) | 200335860A | |
| 05 (AL) | 009932324 | |
| 05 (ME) | 422400000 | |
| 05 (MS) | 03105248 | |
| 05 (IN) | 200093280A | |
| 05 (KY) | 64085566 | |
| 05 (MI) | 104763277 | |
| 05 (AR) | 139014001 |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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