NPI age
20 years
Enumerated 2006-01-13
Across 952 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000652253E | |
| 01 (GA) | 060043786 | MCR RR |
| 01 | 578910 | BCBS |
| 05 (GA) | 00652253B | |
| 05 (GA) | 000652253D |
Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.
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