NPI age
19 years
Enumerated 2006-08-16
Across 643 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (WV) | 3000322000 | |
| 01 (WV) | CA7030 | RAILROAD MEDICARE GROUP # |
| 01 (WV) | P00611007 | RAILROAD MEDICARE |
Part of a multi-provider practice. 1009 other active providers share this practice address in NPPES.
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