NPI age
20 years
Enumerated 2006-05-24
Across 238 active internal medicine providers in Georgia.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | 285649 | |
| 01 (SC) | P00979555 | RAILROAD MEDICARE |
Part of a multi-provider practice. 47 other active providers share this practice address in NPPES.
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