NPI age
18 years
Enumerated 2008-05-14
Across 643 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (DC) | CS1000375 | CONTROLLED SUBSTANCE |
| 01 (DC) | MD038140 | MEDICAL LICENSE |
Part of a multi-provider practice. 816 other active providers share this practice address in NPPES.
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