NPI age
20 years
Enumerated 2005-10-20
Across 238 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 579075630S | |
| 05 (GA) | 579075630X | |
| 05 (GA) | 579075630U | |
| 05 (GA) | 579075630R | |
| 05 (GA) | 579075630T | |
| 05 (GA) | 579075630V |
Part of a multi-provider practice. 178 other active providers share this practice address in NPPES.
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