NPI age
20 years
Enumerated 2005-11-30
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000755125D | |
| 01 (GA) | CG6045 | RAILROAD MEDICARE GROUP ID |
| 01 (GA) | 1306820741 | MEDICARE NPI |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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