NPI age
14 years
Enumerated 2012-01-27
Across 5027 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (PA) | 1029488560015 | |
| 05 (OH) | 0113735 |
Part of a multi-provider practice. 138 other active providers share this practice address in NPPES.
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