NPI age
19 years
Enumerated 2006-07-07
Across 5027 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (AL) | 009900840 | |
| 05 (GA) | 000368893E | |
| 05 (GA) | 000368893G | |
| 05 (GA) | 000368893H | |
| 01 (GA) | 673454 | BCBSGA |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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