NPI age
17 years
Enumerated 2008-08-05
Across 276 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 202G669589 | MEDICARE PTAN GROUP |
| 01 (GA) | 202I662478 | MEDICARE PTAN INDIVIDUAL |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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