NPI age
9 years
Enumerated 2017-04-10
Across 5027 active internal medicine providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | SCJ1589068 | MEDICARE PIN |
| 05 (SC) | 833931 | |
| 01 (SC) | SCJ1585019 | MEDICARE PIN |
Part of a multi-provider practice. 100 other active providers share this practice address in NPPES.
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