NPI age
19 years
Enumerated 2006-07-24
Across 539 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003110501C | |
| 05 (MS) | 02404007 | |
| 05 (GA) | 003110501F | |
| 01 (GA) | P01686239 | RAILROAD MEDICARE PTAN |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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