NPI age
19 years
Enumerated 2006-09-29
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | CH8739 | MCRR |
| 01 (GA) | 0400158 | EVERCARE |
| 01 (GA) | 52255410 001 | BCBS |
Single-site organization. Only one practice location on file.
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