NPI age
16 years
Enumerated 2009-06-18
Across 276 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MS) | 00986895 | |
| 05 (LA) | 1958221 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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