NPI age
19 years
Enumerated 2007-03-09
Across 292 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (OH) | 3093692 | |
| 05 (KY) | 7100140850 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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