NPI age
19 years
Enumerated 2006-10-27
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 578944681B | |
| 01 (GA) | 1689784589 | GROUP NPI |
| 01 (GA) | GRP7965 | MEDICARE GIN |
| 01 (GA) | P00392068 | RR MEDICARE PIN |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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