NPI age
19 years
Enumerated 2006-07-17
Across 643 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 00027721 | MEDICAID REF # |
| 05 (GA) | 000310516D | |
| 01 (GA) | 319359 | WELLCARE |
| 01 (GA) | 100015252 | RAILROAD MEDICARE |
| 01 | 30342B004 | TRICARE |
| 01 (GA) | 4213296 | AETNA |
| 01 (GA) | 15837 | BCBS |
| 01 | 4044103 | CIGNA |
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
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