NPI age
9 years
Enumerated 2017-05-22
Across 280 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | AG05170061 | GEORGIA CERTIFICATION (NP) |
| 01 (GA) | RN149574 | RN LICENSURE |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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