NPI age
19 years
Enumerated 2006-06-05
Across 952 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 850201 | BLUE CROSS BLUE SHIELD |
| 01 | 9611094 | CIGNA |
| 05 (GA) | 575532774B | |
| 01 | 7345666 | AETNA |
Solo or small practice. No other active providers share this practice address in NPPES.
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