NPI age
17 years
Enumerated 2009-02-03
Across 5027 active internal medicine providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (IN) | 201350790 | |
| 05 (KY) | 7100382070 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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