NPI age
16 years
Enumerated 2010-01-20
Across 5027 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (PA) | 102488961 | |
| 01 (PA) | 2511638 | HIGHMARK |
| 01 (PA) | 9029620 | AETNA |
Part of a multi-provider practice. 98 other active providers share this practice address in NPPES.
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