NPI age
20 years
Enumerated 2005-09-30
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 89129VU | |
| 01 | 129VU | BCBS |
| 01 | 1699762054 | BCBS GA |
| 05 (GA) | 870060696A | |
| 01 | A935Z | MEDCOST |
| 01 | G58089 | SC CAID |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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