NPI age
19 years
Enumerated 2006-11-16
Across 96 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 305061 | WELLCARE |
| 01 | 900003753 | RR MEDICARE |
| 05 (GA) | 00153458E | |
| 01 | 582578648 | EVERGREEN |
| 01 | 582578648319B001 | TRICARE WPS |
| 01 (AL) | 60016717 | BCBS |
| 01 | 4282795 | AETNA |
| 01 (GA) | 3790 | BCBS |
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
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