NPI age
17 years
Enumerated 2008-12-15
Across 494 active internal medicine providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | FS2396580 | |
| 05 (NY) | 03818137 |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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