NPI age
20 years
Enumerated 2005-11-08
Across 377 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | 510446195 | BCBS OF SC |
| 05 (SC) | 224420 | |
| 01 | 9199865 | GHI |
Part of a multi-provider practice. 45 other active providers share this practice address in NPPES.
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