NPI age
20 years
Enumerated 2006-05-08
Across 952 active internal medicine providers in Georgia.
12 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 085000570G | |
| 01 (GA) | GRP1614 | MEDICARE ID |
Multi-provider organization. 12 individual providers on file at this primary address.
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