NPI age
19 years
Enumerated 2006-10-25
Across 494 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 202I838480 | MEDICARE PTAN |
| 05 (GA) | 003177299B | |
| 05 (GA) | 003177299A | |
| 05 (TX) | 320138601 (MDACC) | |
| 01 (TX) | 8DV857 | BCBS (MDACC) |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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