NPI age
19 years
Enumerated 2006-07-11
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00797673A | |
| 01 (GA) | 52727492 | BCBS GEORGIA |
| 01 (GA) | 582393308 | COMMERCIAL, CHAMPVA |
| 01 (GA) | 58239330831061 | CHAMPUSTRICARETRICARLIFE |
| 01 (GA) | 045719 | MEDICAL LICENSE |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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