NPI age
19 years
Enumerated 2006-09-28
Across 3206 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00941696A | |
| 01 (GA) | 797349 | BCBS EDI NUMBER |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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