NPI age
17 years
Enumerated 2008-06-27
Across 5027 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (LA) | 2158805 | |
| 01 (LA) | 1235391533 | NPI |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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