NPI age
20 years
Enumerated 2005-07-21
Across 494 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (NY) | 089AK1 | EMPIRE BC/BS |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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