NPI age
19 years
Enumerated 2007-04-17
Across 494 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 606910440B | |
| 05 (GA) | 606910440A | |
| 01 (GA) | P00881727 | RR MEDICARE |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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