NPI age
20 years
Enumerated 2006-05-11
Across 221 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (NJ) | 0207888 | |
| 01 (NJ) | ZK8392 | HEALTHNET |
| 05 (NY) | 02172705 | |
| 01 (NJ) | P00786372 | RR MEDICARE |
Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.
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