NPI age
19 years
Enumerated 2006-07-07
Across 8826 active nurse practitioner providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 50BBKLL | TERM'D MEDICARE PTAN |
| 01 (GA) | 403969 | WELLCARE |
| 01 (GA) | 01067628 | AMERIGROUP |
| 01 (GA) | P00456205 | RR MEDICARE |
| 05 (GA) | 305396678A | |
| 05 (SC) | NP2499 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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