NPI age
16 years
Enumerated 2010-04-30
Across 108 active internal medicine providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003178890K | |
| 05 (SC) | 387842 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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