NPI age
18 years
Enumerated 2007-10-19
Across 238 active internal medicine providers in Georgia.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000348169R | |
| 01 (GA) | 252783403 | TRICARE |
| 01 (GA) | 060062628 | RAILROAD MEDICARE |
| 01 (GA) | 1104827369 | NPI - INDIVIDUAL |
Multi-provider organization. 3 individual providers on file at this primary address.
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