NPI age
12 years
Enumerated 2013-06-28
Across 276 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 080496 | GA STATE LICENSE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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