NPI age
16 years
Enumerated 2009-07-31
Across 238 active internal medicine providers in Georgia.
15 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 202I061458 | MEDICARE PTAN |
| 05 (GA) | 685223213B |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 15 individual providers on file at this primary address.
Subpart of West Georgia Medical Center, Inc.
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