NPI age
14 years
Enumerated 2011-11-07
Across 5027 active internal medicine providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 286682401 | |
| 01 (TX) | 861N03 | BCBS |
Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.
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