NPI age
17 years
Enumerated 2008-08-04
Across 414 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | G10627A | MEDICARE |
| 05 (GA) | 003216412A |
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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