NPI age
20 years
Enumerated 2005-12-26
Across 238 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (VA) | 304371 | ANTHEM |
| 01 (VA) | C10061 | MEDICARE GROUP PIN |
| 01 (VA) | 624885 | SOUTHERN HEALTH |
| 05 (VA) | 1912984568 |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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