NPI age
12 years
Enumerated 2013-11-13
Across 3206 active nurse practitioner providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 2025093I69 | MEDICARE ID |
| 05 (GA) | 003142148B |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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