NPI age
19 years
Enumerated 2006-07-20
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52576493 | BCBS |
| 01 (GA) | P00422522 | RAILROAD MEDICARE PIN |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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