NPI age
19 years
Enumerated 2006-11-20
Across 494 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (IN) | 200884400 | |
| 01 (KY) | 50015854 | PASSPORT |
| 05 (KY) | 7100012090 | |
| 01 (KY) | P00688327 | RR MEDICARE |
| 01 (GA) | 1841364908 | NPI NUMBER |
| 05 (TX) | 176708901 |
Part of a multi-provider practice. 33 other active providers share this practice address in NPPES.
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