NPI age
6 years
Enumerated 2020-03-16
Across 8826 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | 23575 | SOUTH CAROLINA STATE LICENSE |
| 01 (GA) | GAA-NP000802 | GEORGIA MEDICAL LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES.
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