NPI age
16 years
Enumerated 2009-09-10
Across 1024 active hospitalist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 202I116278 | MEDICARE |
| 01 (DE) | C10009155 | LICENSE |
| 05 (GA) | 854265512D |
Part of a multi-provider practice. 362 other active providers share this practice address in NPPES.
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