NPI age
15 years
Enumerated 2011-03-10
Across 8826 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003113112 | |
| 01 (GA) | 20250I0976 | MEDICARE PTAN |
Part of a multi-provider practice. 95 other active providers share this practice address in NPPES.
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