NPI age
16 years
Enumerated 2010-03-31
Across 643 active internal medicine providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003163054C | |
| 05 (WA) | 1780909879 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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