NPI age
19 years
Enumerated 2007-01-04
Across 494 active internal medicine providers in Georgia.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003109369B | |
| 05 (GA) | 003109369A |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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