NPI age
20 years
Enumerated 2006-02-13
Across 105 active internal medicine providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (KY) | 7100140320 | |
| 01 (IN) | P00238942 | RAILROAD MEDICARE |
| 05 (IN) | 200530950 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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