NPI age
17 years
Enumerated 2009-01-23
Across 494 active internal medicine providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003240502A | |
| 05 (NM) | 14130351 | |
| 01 (NM) | 19321870448 | GROUP NPI |
| 01 (NM) | 800521089 | MCR GROUP |
| 01 (NM) | 000Z2565 | MEDICAID GROUP |
| 01 (NM) | CH3451 | RAILROAD MEDICARE GROUP |
| 01 (NM) | P01121731 | MEDICARE RAILROAD CARRIER |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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