NPI age
20 years
Enumerated 2005-08-24
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000144867A | |
| 01 (GA) | 204764 | STATE HEALTH BENEFITS |
| 01 (GA) | 408113438 | RAILROAD MEDICARE |
| 01 (GA) | 581356947 | PRACTICE FEDERAL TAX ID |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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