NPI age
19 years
Enumerated 2006-12-29
Across 8826 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 130497891B | |
| 01 (GA) | RN052669 | GEORGIA LICENSE |
| 01 (GA) | 348466 | WELLCARE NUMBER |
| 01 (GA) | P00228955 | RAILROAD MEDICARE |
| 01 (GA) | 10064224 | AMERIGROUP NUMBER |
Solo or small practice. No other active providers share this practice address in NPPES.
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