NPI age
20 years
Enumerated 2005-08-22
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000531968C | |
| 01 (GA) | P00161296 | RAILROAD MEDICARE |
| 01 (GA) | 320122 | WELLCARE |
Part of a multi-provider practice. 90 other active providers share this practice address in NPPES.
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