NPI age
19 years
Enumerated 2006-08-05
Across 494 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 700H262220 | BLUE CROSS-BLUE CROSS |
| 01 | PJ075266 | COMMERCIAL-COMMERCIAL NUMBER |
| 01 | PJ075266 | CHAMPUS-CHAMPUS |
| 05 (MI) | 488418310 |
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
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