NPI age
12 years
Enumerated 2013-08-16
Across 929 active nurse practitioner providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | RN255069 | MEDICAL LICENSE |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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