NPI age
20 years
Enumerated 2005-09-15
Across 292 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | DH0728 | RR MEDICARE GROUP NUMBER |
| 01 (GA) | 52057418002 | BCBS PROVIDER |
| 01 (GA) | 7677440 | AETNA PROVIDER # |
| 01 (GA) | P00037925 | RAILROAD MEDICARE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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