NPI age
20 years
Enumerated 2006-03-27
Across 952 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000318216C | |
| 05 (GA) | 000318216D | |
| 05 (GA) | 000318216F | |
| 01 | 060004408 | RR MEDICARE |
| 01 | 54121 | BX TN |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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