NPI age
3 years
Enumerated 2022-05-31
Across 8826 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | RN201403 | STATE LICENSE |
| 01 (GA) | 2022012683 | ANCC 2022012683 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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