NPI age
20 years
Enumerated 2005-06-14
Across 494 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00114815E | |
| 05 (GA) | 000114815H | |
| 05 (GA) | 00114815A | |
| 05 (GA) | 00114815D | |
| 01 (GA) | 1225033640 | NPI NUMBER |
| 05 (GA) | 00114815G |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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