NPI age
20 years
Enumerated 2006-04-08
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 032345 | GA LICENSE |
| 01 (FL) | ME95858 | FLORIDA STATE LICENSE |
| 01 (AR) | N6950 | ARKANSAS STATE LICENSE |
| 01 (GA) | 110045694 | PALMETTO GBA MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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