NPI age
18 years
Enumerated 2007-12-18
Across 643 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (CT) | 008051562 | |
| 05 (MD) | 589004700 | |
| 01 (MD) | S062-0517 | CAREFIRST BC/BS |
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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