NPI age
20 years
Enumerated 2005-10-14
Across 494 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000343098M | |
| 01 (GA) | 1447249156 | NPI NUMBER |
| 05 (GA) | 000343098L | |
| 05 (GA) | 000343098E |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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