NPI age
14 years
Enumerated 2011-06-06
Across 494 active internal medicine providers in Georgia.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | SCA6833365 | MEDICARE PIN |
| 01 (SC) | SCA6834746 | MEDICARE PIN |
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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