NPI age
20 years
Enumerated 2006-03-01
Across 238 active internal medicine providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (PA) | GU039823 | MEDICARE GROUP |
| 01 (PA) | P00040776 | RR MEDICARE PIN |
| 05 (NY) | 02412059 | |
| 01 (PA) | CC9269 | RR MEDICARE GROUP |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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