NPI age
20 years
Enumerated 2005-09-27
Across 238 active internal medicine providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (VA) | 1629064365 | |
| 01 (GA) | 80550 | CARDIOLOGY, INTERVENTIONAL |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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