NPI age
19 years
Enumerated 2006-06-22
Across 929 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (MI) | 4704180693 | LICENSE |
| 05 (MA) | 4868152 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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