NPI age
19 years
Enumerated 2006-06-16
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10063650 | AMERIGROUP |
| 05 (GA) | 000696638B | |
| 01 (GA) | 349738 | WELLCARE |
| 01 (GA) | 821615 | BLUE CROSS BLUE SHIELD |
| 01 | 582162071019 | CHAMPUS |
| 05 (GA) | 000696638F | |
| 01 | 110214354 | RAILROAD MEDICARE |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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