NPI age
15 years
Enumerated 2010-08-03
Across 292 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (MO) | 200091455 | |
| 01 (MI) | 250985 | BCBS |
| 05 (MI) | 1366756231 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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