NPI age
19 years
Enumerated 2006-07-08
Across 952 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00612169C | |
| 01 (GA) | 731865 | BLUE CROSS/BLUE SHIELD |
| 01 | 60051487 | RAILROAD MEDICARE |
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
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