NPI age
19 years
Enumerated 2006-12-05
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 01034588 | AMERIGROUP |
| 01 (GA) | 203837351 | BLUE SHIELD |
| 05 (GA) | 455155851A | |
| 01 (GA) | 178074 | UNITED HEALTHCARE UPIN |
| 01 (GA) | P00471327 | RAILROAD MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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