NPI age
19 years
Enumerated 2007-03-07
Across 414 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 11D0978763 | CLIA |
| 05 (GA) | 085002644G | |
| 05 (GA) | 300015856A |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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