NPI age
20 years
Enumerated 2006-01-27
Across 494 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (MI) | 0B56404008 | BCR |
| 05 (MI) | 4790701 |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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