NPI age
19 years
Enumerated 2006-08-04
Across 1024 active hospitalist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 055766 | GA LICENSE |
| 05 (GA) | 169171429A |
Part of a multi-provider practice. 270 other active providers share this practice address in NPPES.
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