NPI age
12 years
Enumerated 2013-10-24
Across 806 active nurse practitioner providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (NC) | 5007170 | NCBON |
| 01 (OH) | COA.15224-NP | CNP |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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