NPI age
19 years
Enumerated 2006-06-06
Across 292 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000175458B | |
| 01 (GA) | 349755 | WELLCARE |
| 05 (SC) | G20309 | |
| 01 (GA) | 10064418 | AMERIGROUP |
| 01 (GA) | 460003037 | RR MEDICARE |
| 05 (GA) | 000175458C |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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