NPI age
19 years
Enumerated 2006-06-23
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10064200 | AMERIGROUP |
| 01 (GA) | 349745 | WELLCARE |
| 05 (SC) | G33953 | |
| 01 (GA) | 110214353 | RR MEDICARE |
| 05 (GA) | 000452207E |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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