NPI age
19 years
Enumerated 2006-07-20
Across 276 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (TN) | 33396001 | |
| 01 (TN) | P00222697 | MEDICARE RAILROAD |
| 01 (TN) | 4092108 | BLUE CROSS NUMBER |
| 01 (TN) | TN0105 | JOHN DEERE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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