NPI age
19 years
Enumerated 2007-04-18
Across 238 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 057070011D | |
| 01 (GA) | 063856 | GA MEDICAL LICENSE |
| 05 (GA) | 057070011F | |
| 05 (GA) | 057070011B | |
| 05 (GA) | 057070011E | |
| 05 (GA) | 057070011A | |
| 05 (GA) | 057070011C |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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