NPI age
20 years
Enumerated 2005-09-23
Across 539 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (MS) | 09300075 | |
| 05 (LA) | 1157333 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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