NPI age
20 years
Enumerated 2005-09-19
Across 952 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | P00194684 | RR MCR |
| 05 (FL) | 272422700 | |
| 01 (FL) | 64262 | BCBS |
| 01 (FL) | P00194684 | RAILROAD MEDICARE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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