NPI age
20 years
Enumerated 2005-07-29
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00229919C | |
| 01 | 11D0265529 | CLIA |
| 05 (FL) | 2641658-01 |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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