NPI age
19 years
Enumerated 2006-07-03
Across 539 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000272709E | |
| 01 (GA) | 110010956 | RAILROAD MEDICARE |
| 01 (GA) | G25641 | SOUTH CAROLINA MEDICAID |
Part of a multi-provider practice. 34 other active providers share this practice address in NPPES.
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