NPI age
20 years
Enumerated 2005-07-18
Across 414 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | GA1300 | |
| 05 (GA) | 003123605A | |
| 01 (GA) | 52590314 | BCBS OF GA |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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