NPI age
14 years
Enumerated 2011-09-01
Across 1024 active hospitalist providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003148484A | |
| 01 | 12190943 | AAMC |
| 01 | 07481484 | ECFMG |
Part of a multi-provider practice. 28 other active providers share this practice address in NPPES.
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