NPI age
14 years
Enumerated 2012-02-05
Across 414 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TN) | 1529116 | |
| 05 (GA) | 003233274 |
Part of a multi-provider practice. 43 other active providers share this practice address in NPPES.
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