NPI age
19 years
Enumerated 2006-12-07
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52726727 004 | BCBS |
| 01 (GA) | 000759558I | PEACH STATE PROVIDER # |
| 01 (GA) | P00050426 | RAIL ROAD MEDICARE |
| 01 (GA) | 297521 | WELL CARE PROVIDER # |
| 05 (GA) | 000759558I |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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