NPI age
17 years
Enumerated 2008-09-26
Across 494 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003205621B | |
| 01 (GA) | G01512A | MEDICARE PTAN |
| 05 (GA) | 003205621A |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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