NPI age
19 years
Enumerated 2007-05-07
Across 238 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | G52880 | SC MEDICAID |
| 05 (GA) | 113782709A | |
| 01 (GA) | 1160727 | AMERIGROUP |
| 01 (GA) | 438153 | GA MEDICARE WELLCARE AND GA MEDICAID WELLCARE |
| 01 (GA) | 52210402-001 | BCBS |
| 01 (GA) | P00663070 | RR MEDICARE |
Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.
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