NPI age
17 years
Enumerated 2008-12-29
Across 806 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (IN) | 1104062959 | |
| 05 (KY) | 7100085650 |
Part of a multi-provider practice. 689 other active providers share this practice address in NPPES.
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