NPI age
10 years
Enumerated 2016-05-09
Across 414 active internal medicine providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 83453 | STATE LICENSE |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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