NPI age
19 years
Enumerated 2007-04-12
Across 5027 active internal medicine providers in Georgia.
7 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00305302B | |
| 05 (GA) | 452595412D | |
| 05 (GA) | 000137827B | |
| 05 (GA) | 002528159A |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 7 individual providers on file at this primary address.
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