NPI age
18 years
Enumerated 2007-07-19
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 060453 | STATE LICENSE |
| 01 (AL) | 29365 | STATE |
| 01 (WI) | 50078 | WI STATE LICENSE |
| 01 (SC) | 32521 | STATE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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