NPI age
19 years
Enumerated 2007-03-31
Across 952 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 516025216C | |
| 01 (GA) | P00412283 | MEDICARE RAILROAD |
| 05 (GA) | 516025216A | |
| 05 (GA) | 516025216B | |
| 01 (GA) | CC2047 | MEDICARE |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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