NPI age
14 years
Enumerated 2011-07-01
Across 952 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 81780 | MEDICAL LICENSE |
| 01 (FL) | ME132982 | MEDICAL LICENSE |
| 05 (FL) | 021429400 | |
| 01 (AL) | MD.36054 | MEDICAL LICENSE |
| 01 (MS) | T-2403 | MS TEMPORARY MEDICAL LICENSE |
Part of a multi-provider practice. 20 other active providers share this practice address in NPPES.
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