NPI age
20 years
Enumerated 2006-04-25
Across 393 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | RN112386 | NURSING LICENSE |
| 05 (GA) | 000887961 |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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