NPI age
20 years
Enumerated 2005-12-23
Across 221 active internal medicine providers in Georgia.
6 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (KY) | 7100116980 | |
| 05 (PA) | 101253245 | |
| 01 (PA) | 1729503 | HIGHMARK |
| 05 (WI) | 100095648 |
Part of a multi-provider practice. 689 other active providers share this practice address in NPPES.
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