NPI age
20 years
Enumerated 2006-01-20
Across 96 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000864498A | |
| 01 (GA) | 10045340 | AMERIGROUP |
| 01 (GA) | 2993017 | CIGNA |
| 01 (GA) | 340868 | WELLCARE |
| 01 (GA) | 3600108 | UNITED HEALTHCARE |
| 01 (GA) | 7286112 | AETNA |
| 01 (GA) | 52702518 | BCBS |
| 01 (GA) | 830007840 | RR MEDICARE-GRP # CC4177 |
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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