NPI age
19 years
Enumerated 2006-07-26
Across 45 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 595432 | BCBS |
| 05 (SC) | G27513 | |
| 01 | 4136538 | AETNA PPO |
| 01 (GA) | 1592080-002 | CIGNA |
| 01 | 778332 | AETNA HMO |
| 05 (GA) | 00432814C |
Part of a multi-provider practice. 266 other active providers share this practice address in NPPES.
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