NPI age
20 years
Enumerated 2006-04-06
Across 414 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (LA) | 1576107 | |
| 01 (MS) | P01245275 | RAILROAD PTAN |
| 05 (MS) | 08920791 |
Solo or small practice. No other active providers share this practice address in NPPES.
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