NPI age
16 years
Enumerated 2009-06-05
Across 494 active internal medicine providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 385795321P | |
| 05 (GA) | 385795321O | |
| 01 (GA) | G07436A | MEDICARE PTAN |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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