NPI age
16 years
Enumerated 2009-06-24
Across 952 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (MI) | 1386872729 | |
| 01 (TN) | P01368155 | RR MEDICARE |
Part of a multi-provider practice. 47 other active providers share this practice address in NPPES.
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