NPI age
20 years
Enumerated 2006-03-15
Across 539 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (MS) | 05573307 | |
| 01 (MS) | P00423212 | MEDICARE RAILROAD |
Solo or small practice. No other active providers share this practice address in NPPES.
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