NPI age
19 years
Enumerated 2006-12-07
Across 562 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52238021 002 | BCBS PROVIDER # |
| 05 (GA) | 000023328F |
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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