NPI age
20 years
Enumerated 2006-04-03
Across 952 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00098876A | |
| 01 (GA) | 048575 | BLUE SHIELD |
Part of a multi-provider practice. 73 other active providers share this practice address in NPPES.
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