NPI age
20 years
Enumerated 2005-09-30
Across 5027 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 949495 | BLUE CROSS BLUE SHIELD |
| 01 (GA) | 619777309A | AMERIGROUP |
| 05 (GA) | 619777309A | |
| 01 (GA) | 355208 | WELLCARE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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