NPI age
17 years
Enumerated 2008-06-30
Across 238 active internal medicine providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 003859800 | |
| 05 (GA) | 003179956A |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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