NPI age
19 years
Enumerated 2007-04-06
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 734200366B | |
| 05 (GA) | 734200366A |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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