NPI age
20 years
Enumerated 2006-01-18
Across 3206 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000771196C | |
| 01 (GA) | 50BBKVV | MEDICARE PROVIDER NUMBER |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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