NPI age
19 years
Enumerated 2006-07-22
Across 276 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 575897337A | |
| 05 (SC) | G59298 | |
| 01 (GA) | 52222473-001 | GA BCBS |
Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.
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