NPI age
19 years
Enumerated 2006-07-11
Across 952 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000264745A | |
| 01 (GA) | 335239 | WELLCARE |
| 01 (TN) | 4141465 | TENN CARE |
| 01 (GA) | 01410445 | AMERIGROUP |
| 01 (GA) | P00859441 | RR MEDICARE |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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