NPI age
14 years
Enumerated 2012-01-03
Across 3207 active registered nurse providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | RN190258 | STATE REGISTERED NURSE LICENSE |
| 01 (NY) | 334284-1 | STATE REGISTERED NURSE LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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