NPI age
20 years
Enumerated 2005-10-24
Across 5027 active internal medicine providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000882109A | |
| 01 (GA) | 313966 | WELLCARE |
| 01 (GA) | 10033140 | AMERIGROUP |
| 01 (GA) | P00124118 | RAILROAD MEDICARE |
| 01 (GA) | 0101672 | UNITED HEALTHCARE |
| 01 (GA) | 8708 | KAISER |
| 01 (GA) | 1023880002 | PEACHSTATE |
| 01 (GA) | 52723999001 | BC/BS GEORGIA |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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