NPI age
19 years
Enumerated 2006-08-07
Across 8826 active nurse practitioner providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 202I501197 | MEDICARE PTAN NUMBER |
| 05 (GA) | 000865686H |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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