NPI age
16 years
Enumerated 2010-05-06
Across 5027 active internal medicine providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003105027A | |
| 01 (GA) | 102G111530 | MEDICARE PTAN |
Multi-provider organization. 1 individual provider on file at this primary address.
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