NPI age
12 years
Enumerated 2013-12-12
Across 8826 active nurse practitioner providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003142568E |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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