NPI age
19 years
Enumerated 2006-11-22
Across 5027 active internal medicine providers in Georgia.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 300024546 | |
| 01 (GA) | CH9108 | RR MEDICARE |
Multi-provider organization. 3 individual providers on file at this primary address.
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