NPI age
20 years
Enumerated 2005-09-27
Across 14 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000843785H | |
| 01 (GA) | 202I503048 | MEDICARE PTAN |
| 01 (GA) | RN078829NP | NURSE PRACTITIONER LIC. |
| 01 | GRP 1855 | MEDICARE GROUP PTAN |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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