NPI age
20 years
Enumerated 2006-05-20
Across 276 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (IA) | 42141730753 | JOHN DEERE HEALTH INS PLA |
| 01 (IA) | 52996 | WELLMARK INS PLAN |
| 05 (IA) | 0133629 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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