NPI age
19 years
Enumerated 2006-06-28
Across 952 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00211285C | |
| 01 | 408113718 | RAILROAD MEDICARE NUMBER |
| 01 (GA) | 476691 | BCBS NUMBER |
Part of a multi-provider practice. 57 other active providers share this practice address in NPPES.
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