NPI age
18 years
Enumerated 2007-07-10
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (AZ) | 932229 | |
| 05 (CO) | 88173542 | |
| 05 (NM) | 76085261 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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