NPI age
16 years
Enumerated 2010-03-03
Across 562 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (NJ) | 0225398 | |
| 01 (NJ) | P00861656 | RR MEDICARE |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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