NPI age
19 years
Enumerated 2006-10-03
Across 562 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000569687F | |
| 05 (GA) | 000569687D | |
| 05 (GA) | 000569687T | |
| 01 (GA) | 366237 | WELLCARE |
| 01 (GA) | 390006768 | RAILROAD MEDICARE |
| 05 (GA) | 000569687Q | |
| 05 (GA) | 000569687R | |
| 05 (GA) | 000569687V | |
| 05 (GA) | 000569687X | |
| 05 (GA) | 000569687E | |
| 05 (GA) | 000569687G | |
| 01 (GA) | 10063368 | AMERIGROUP |
| 05 (GA) | 000569687H | |
| 05 (GA) | 000569687S |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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