NPI age
19 years
Enumerated 2006-07-24
Across 3206 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 593466638A | |
| 01 (GA) | 50BBLLG | OLD MEDICARE PTAN |
| 01 (GA) | 01067491 | AMERIGROUP |
| 01 (GA) | 404178 | WELLCARE |
| 01 (GA) | P00394154 | RR MEDICARE |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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