NPI age
18 years
Enumerated 2007-11-07
Across 8826 active nurse practitioner providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | RN154553 | STATE LICENSE |
Part of a multi-provider practice. 816 other active providers share this practice address in NPPES.
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