NPI age
19 years
Enumerated 2006-08-09
Across 494 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 826265683A | |
| 01 (GA) | 1396755385 | NPI NUMBER |
| 05 (GA) | 826265683C |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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