NPI age
14 years
Enumerated 2011-06-02
Across 8826 active nurse practitioner providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 01458463 | AMERIGROUP |
| 01 (GA) | 623822 | WELLCARE |
| 05 (GA) | 003111466A |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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