NPI age
20 years
Enumerated 2005-11-14
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 0005905454 | AETNA |
| 01 | 110168051 | RAILROAD MEDICARE |
| 05 (AL) | 000039973 | |
| 01 (AL) | 51039973 | BLUE CROSS BLUE SHIELD |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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