NPI age
20 years
Enumerated 2005-12-22
Across 494 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 851030536A | |
| 01 (GA) | 004423 | BLUE CROSS BLUE SHIELD |
| 05 (SC) | G52835 | |
| 01 (GA) | P00035368 | RAILROAD MEDICARE |
| 01 (GA) | 604802700 | UNITED HEALTHCARE |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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