NPI age
14 years
Enumerated 2011-06-17
Across 8826 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | RN193864 | RN |
| 01 (GA) | RN193864NP | NP LICENSE |
| 05 (GA) | 003110136B |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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