NPI age
17 years
Enumerated 2009-04-28
Across 1024 active hospitalist providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | P01586705 | MEDICARE RR PIN |
| 05 (SC) | 3549 | |
| 01 (SC) | 013 | BCBS / BLUE CHOICE |
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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