NPI age
19 years
Enumerated 2006-07-12
Across 1024 active hospitalist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | GA056179 | GA LICENSE # |
| 05 (GA) | 263262310A |
Solo or small practice. No other active providers share this practice address in NPPES.
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