NPI age
20 years
Enumerated 2005-06-28
Across 238 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (AL) | 142202 | |
| 05 (GA) | 000390684J |
Part of a multi-provider practice. 95 other active providers share this practice address in NPPES.
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