NPI age
20 years
Enumerated 2005-07-15
Across 414 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000532441E | |
| 01 (GA) | 440003516 | RR MEDICARE |
| 01 (GA) | 454524 | BCBS |
| 05 (SC) | G36446 |
Solo or small practice. No other active providers share this practice address in NPPES.
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