NPI age
20 years
Enumerated 2005-10-24
Across 414 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (MA) | 3066461 | |
| 01 (MA) | 724123 | TUFTS HEALTH PLAN |
| 01 (MA) | J09576 | BCBS MA |
Part of a multi-provider practice. 1359 other active providers share this practice address in NPPES.
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