NPI age
18 years
Enumerated 2007-09-13
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52476862-002 | BCBS |
| 01 | 01415718 | AMERIGROUP |
| 01 (GA) | 569141 | WELLCARE |
| 01 | P00870121 | RAILROAD MEDICARE |
| 05 (GA) | 853148939A |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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