NPI age
18 years
Enumerated 2007-06-07
Across 562 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 630423104A | |
| 01 (GA) | 01035668 | AMERIGROUP |
| 01 (GA) | P00215034 | RILROAD MEDICARE |
| 01 (GA) | 52043977 | BLUE SHIELD |
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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