NPI age
19 years
Enumerated 2007-01-02
Across 5027 active internal medicine providers in Georgia.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000720189F | |
| 01 (GA) | 11D0950627 | CLIA |
Multi-provider organization. 2 individual providers on file at this primary address.
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