NPI age
17 years
Enumerated 2008-11-17
Across 3206 active nurse practitioner providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | NP1749 | |
| 05 (GA) | 003105298B | |
| 05 (GA) | 003105298A | |
| 01 (GA) | P00915509 | RR MEDICARE |
| 01 (GA) | 583535 | WELLCARE |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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