NPI age
19 years
Enumerated 2006-08-28
Across 104 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003175049A | |
| 05 (GA) | 003175049B | |
| 01 (FL) | ME74819 | MEDICAL LICENSE NUMBER |
Solo or small practice. No other active providers share this practice address in NPPES.
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