NPI age
16 years
Enumerated 2010-04-23
Across 414 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003180254Q | |
| 05 (LA) | 2361368 | |
| 05 (GA) | 003261734A | |
| 05 (GA) | 003180254S | |
| 05 (FL) | XC527 |
Part of a multi-provider practice. 86 other active providers share this practice address in NPPES.
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