NPI age
18 years
Enumerated 2007-06-11
Across 3206 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000534652D | |
| 01 (GA) | P00406211 | RR MEDICARE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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