NPI age
10 years
Enumerated 2015-12-10
Across 8826 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 202I509677 | MEDICARE PTAN |
| 05 (GA) | 003174390A |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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