NPI age
19 years
Enumerated 2006-06-03
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 349731 | WELLCARE |
| 05 (SC) | G32880 | |
| 01 (GA) | 52506457-003 | BCBS GA |
| 05 (GA) | 000439612D | |
| 01 (GA) | 52506457-001 | BCBS GA |
| 05 (GA) | 000439612E | |
| 05 (GA) | 000439612F | |
| 01 (GA) | 10063559 | AMERIGROUP |
| 01 | 4598872 | AETNA |
| 01 (GA) | P00290731 | RR MEDICARE ID |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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