NPI age
18 years
Enumerated 2007-09-27
Across 643 active internal medicine providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10BDBCW | MEDICARE PROVIDER NUMBER |
| 01 (GA) | GRP4756 | GROUP NUMBER |
Multi-provider organization. 1 individual provider on file at this primary address.
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