NPI age
19 years
Enumerated 2006-06-25
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | 571020809027 | TRICARE SC |
| 01 (SC) | P00125604 | RAILROAD MEDICARE |
| 05 (SC) | 232983 | |
| 01 (SC) | 571020809032 | BCBS SC |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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