NPI age
19 years
Enumerated 2006-06-12
Across 494 active internal medicine providers in Georgia.
6 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 151319401 | |
| 05 (TX) | 151319406 | |
| 05 (GA) | 003190721B | |
| 05 (TX) | 151319403 | |
| 01 (TX) | 8R1406 | BLUE CROSS OF TEXAS |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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