NPI age
5 years
Enumerated 2021-04-13
Across 108 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (NY) | 1194061150 | |
| 05 (CT) | 1447548102 | |
| 05 (CT) | 1528356359 |
Single-site organization. Only one practice location on file.
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