NPI age
6 years
Enumerated 2019-11-19
Across 8826 active nurse practitioner providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 15385033 | CAQH |
| 05 (GA) | 003256365 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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