NPI age
19 years
Enumerated 2006-08-24
Across 276 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 66BBBJF | MEDICARE |
| 01 (GA) | 044028 | LICENSE |
| 05 (GA) | 000752056B | |
| 05 (GA) | 000752056E |
Part of a multi-provider practice. 34 other active providers share this practice address in NPPES.
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