NPI age
20 years
Enumerated 2005-08-30
Across 643 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (OH) | P00144008 | RAILROAD MEDICARE |
| 01 (OH) | 04-09483 | UNITED HEALTHCARE |
| 01 (OH) | 000000334007 | ANTHEM |
| 05 (OH) | 2473792 | |
| 01 (OH) | 7691615 | AETNA |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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