NPI age
20 years
Enumerated 2006-03-10
Across 562 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 37304 | LICENSE NUMBER |
| 05 (GA) | 00572943A | |
| 05 (GA) | 000572943A |
Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.
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