NPI age
20 years
Enumerated 2005-11-10
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | G43922 | |
| 05 (GA) | 000788268E | |
| 05 (GA) | 000788268G | |
| 01 (GA) | 52598660-005 | BCBS |
| 01 (GA) | 349752 | WELLCARE |
| 01 (GA) | P00328076 | RR MEDICARE |
| 01 (GA) | 10064383 | AMERIGROUP |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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