NPI age
20 years
Enumerated 2006-03-22
Across 3206 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 312985652B | |
| 01 (GA) | RN102301 | LICENSE |
| 01 (GA) | 500BBKMV | MEDICARE ID |
Part of a multi-provider practice. 81 other active providers share this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →