NPI age
19 years
Enumerated 2006-07-19
Across 3206 active nurse practitioner providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 979120850G | |
| 05 (GA) | 979120850D | |
| 05 (GA) | 979120850I | |
| 01 (GA) | 0371565-22 | BOARD CERTIFICATION |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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