NPI age
15 years
Enumerated 2010-08-30
Across 8826 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003101232C | |
| 01 (GA) | 202I503406 | MEDICARE PTAN |
Solo or small practice. No other active providers share this practice address in NPPES.
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