NPI age
19 years
Enumerated 2007-02-01
Across 3206 active nurse practitioner providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 349156122A | |
| 01 (GA) | 202I503405 | MEDICARE PTAN |
| 05 (GA) | 349156122C | |
| 05 (GA) | 349156122R | |
| 05 (FL) | 109754200 | |
| 05 (GA) | 349156122V |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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