NPI age
20 years
Enumerated 2006-05-16
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (WI) | 34650700 | |
| 01 | 039906263M | HUMANA |
Part of a multi-provider practice. 773 other active providers share this practice address in NPPES.
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