NPI age
17 years
Enumerated 2008-06-19
Across 414 active internal medicine providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (AL) | 150458 | |
| 01 (AL) | 51136952 | BLUE CROSS |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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