NPI age
17 years
Enumerated 2008-08-14
Across 952 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (KY) | P01452045 | RR MEDICARE |
| 05 (KY) | 7100358980 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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