NPI age
16 years
Enumerated 2010-05-07
Across 276 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (MN) | 77210 | MD LICENSE |
| 01 (GA) | 93468 | MD LICENSE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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