NPI age
20 years
Enumerated 2006-05-23
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (MD) | KF68 / 639571-01 | BC / BS OF MD |
| 01 (MD) | S189 / 0031 | BLUECHOICE |
| 05 (MD) | 404466500 |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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