NPI age
19 years
Enumerated 2006-09-22
Across 414 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000401662B | |
| 01 | 110041588 | MC RAILROAD |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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