NPI age
18 years
Enumerated 2007-12-26
Across 806 active nurse practitioner providers in Georgia.
8 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003114064G | |
| 01 (GA) | RN173580 | MEDICAL LICENSE |
Part of a multi-provider practice. 538 other active providers share this practice address in NPPES.
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