NPI age
19 years
Enumerated 2006-06-21
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 349775 | WELLCARE |
| 05 (SC) | 150274 | |
| 01 (GA) | P00649656 | RR MEDICARE |
| 05 (GA) | 000069935K | |
| 01 (GA) | 10065589 | AMERIGROUP |
| 05 (GA) | 000069935J |
Part of a multi-provider practice. 39 other active providers share this practice address in NPPES.
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