NPI age
20 years
Enumerated 2005-07-15
Across 952 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000636732E | |
| 05 (SC) | G39438 | |
| 01 (GA) | 006160 | BCBS |
| 05 (GA) | 000636732F | |
| 01 (GA) | 060070776 | RR MEDICARE |
Part of a multi-provider practice. 54 other active providers share this practice address in NPPES.
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