NPI age
19 years
Enumerated 2006-07-09
Across 5027 active internal medicine providers in Georgia.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 022758 | LICENSE |
| 01 (GA) | 022724 | LICENSE |
| 05 (GA) | 00250885C | |
| 01 (GA) | 052022 | LICENSE |
| 05 (GA) | 00964741A | |
| 05 (GA) | 00250907B | |
| 01 (GA) | 057497 | STATE LICENSE |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 20 individual providers on file at this primary address.
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