NPI age
18 years
Enumerated 2007-06-27
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 200619920A | |
| 05 (KS) | 200677910C | |
| 05 (MO) | 1659577484 |
Part of a multi-provider practice. 62 other active providers share this practice address in NPPES.
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