NPI age
19 years
Enumerated 2006-06-08
Across 5027 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 349783 | WELLCARE |
| 01 (GA) | 619196 | WELLCARE |
| 05 (GA) | 000680325C | |
| 05 (GA) | 000680325D | |
| 05 (SC) | G40099 | |
| 01 (GA) | 110214365 | RR MEDICARE |
| 05 (GA) | 000680325E | |
| 01 (GA) | 10065723 | AMERIGROUP |
Part of a multi-provider practice. 69 other active providers share this practice address in NPPES.
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