NPI age
18 years
Enumerated 2007-06-18
Across 5027 active internal medicine providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (PA) | 2864090000 | PERSONAL CHOICE |
| 01 (PA) | 30046047 | KEYSTONE MERCY |
| 05 (PA) | 1020162720001 | |
| 01 (PA) | 1988201 | HIGHMARK BLUE SHIELD |
| 01 (PA) | 39170 | HEALTH PARTNERS |
| 01 (PA) | 2864090000 | KEYSTONE IBC |
| 01 (PA) | 1747437 | AETNA |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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