NPI age
20 years
Enumerated 2005-06-22
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 110064877 | PALMETTO |
| 01 (GA) | 581854158001 | TRICARE |
| 01 (GA) | 581854158 | UHC,HUMANA, CIGNA |
| 05 (GA) | 000435949B | |
| 01 (GA) | E00581854158 | AETNA |
| 01 (GA) | 52067326 | BCBSGA |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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