NPI age
17 years
Enumerated 2008-08-04
Across 292 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | IO633Z | MEDICARE |
| 01 (FL) | VS613 | BCBS |
| 05 (FL) | 017433100 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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