NPI age
19 years
Enumerated 2006-06-21
Across 8826 active nurse practitioner providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | NP0215 | |
| 05 (GA) | 000807815U | |
| 05 (GA) | 000807815V | |
| 05 (GA) | 000807815D |
Part of a multi-provider practice. 71 other active providers share this practice address in NPPES.
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