NPI age
18 years
Enumerated 2007-08-01
Across 292 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 668151120A | |
| 05 (LA) | 1049531 |
Part of a multi-provider practice. 70 other active providers share this practice address in NPPES.
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