NPI age
6 years
Enumerated 2019-09-16
Across 3206 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003225173B | |
| 01 (GA) | G15962A | MEDICARE PTAN |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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