NPI age
19 years
Enumerated 2006-06-16
Across 539 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000341591F | |
| 05 (SC) | G24329 | |
| 05 (GA) | 000341591E | |
| 01 | 582162071002 | CHAMPUS |
| 01 (GA) | 821269 | BLUE CROSS BLUE SHIELD |
| 01 | 290013344 | RAILROAD MEDICARE |
Part of a multi-provider practice. 538 other active providers share this practice address in NPPES.
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