NPI age
13 years
Enumerated 2012-12-07
Across 3207 active registered nurse providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (IA) | 0159608 | |
| 01 (IA) | 07466 | WELLMARK BC BS |
Part of a multi-provider practice. 126 other active providers share this practice address in NPPES.
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