NPI age
20 years
Enumerated 2006-02-16
Across 562 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | P00401185 | RAILROAD MEDICARE |
| 05 (GA) | 000264173D | |
| 01 (GA) | 52210475 | BLUE CROSS/BLUE SHIELD |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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