NPI age
19 years
Enumerated 2006-11-09
Across 929 active nurse practitioner providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 000823611E | MEDICAID EVANS |
| 01 (GA) | 000823611D | MEDICAID POB4 |
Solo or small practice. No other active providers share this practice address in NPPES.
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