NPI age
19 years
Enumerated 2006-07-12
Across 643 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 30342B002 | TRICARE |
| 01 (GA) | 4031900 | AETNA |
| 01 (GA) | 406061009 | RAILROAD MEDICARE |
| 01 (GA) | 000016316 | MEDICAID REF # |
| 01 (GA) | 0480739 | CIGNA |
| 01 (GA) | 151837 | BCBS |
| 01 (GA) | 319360 | WELLCARE |
| 05 (GA) | 00201253A |
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
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