NPI age
18 years
Enumerated 2007-06-29
Across 5027 active internal medicine providers in Georgia.
7 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00641935C | |
| 05 (GA) | 11BDTLM |
Multi-provider organization. 7 individual providers on file at this primary address.
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