NPI age
11 years
Enumerated 2015-03-13
Across 1024 active hospitalist providers in Georgia.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 88860 | GEORGIA LICENSE |
| 05 (CO) | 9000180811 |
Part of a multi-provider practice. 689 other active providers share this practice address in NPPES.
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