NPI age
20 years
Enumerated 2006-03-21
Across 96 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003138267A | |
| 01 (GA) | GA1545 | SC MEDICAID |
| 01 (AZ) | P00321433 | RAILROAD MEDICARE |
| 05 (AZ) | 149718 |
Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.
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