NPI age
11 years
Enumerated 2014-12-30
Across 5027 active internal medicine providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00543397A | |
| 01 | 1619994472 | NPI |
Multi-provider organization. 1 individual provider on file at this primary address.
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