NPI age
20 years
Enumerated 2006-02-28
Across 414 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (AR) | 152235001 | |
| 05 (SD) | 6004470 | |
| 05 (MN) | 001671300 | |
| 01 (SD) | 0040594 | BCBS |
| 05 (IA) | 0559708 |
Part of a multi-provider practice. 43 other active providers share this practice address in NPPES.
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