NPI age
19 years
Enumerated 2006-12-27
Across 3206 active nurse practitioner providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 1275698284 | NPI |
| 05 (FL) | 0019761000 | |
| 01 (FL) | Y03N2 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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