NPI age
8 years
Enumerated 2017-10-30
Across 280 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 2019074541 | ANCC CERTIFICATION |
| 01 (GA) | RN175038 | STATE LICENSE |
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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