NPI age
19 years
Enumerated 2007-01-08
Across 929 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 11194873828 | NPI |
| 01 (GA) | 818552480A | MEDICAID PAYEE ID |
| 05 (GA) | 818552480A | |
| 05 (GA) | 000874057I |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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