NPI age
14 years
Enumerated 2011-07-11
Across 3206 active nurse practitioner providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | NP1887 | |
| 05 (GA) | 003111869A | |
| 01 (GA) | P00962297 | RAILROAD MEDICARE |
| 01 (GA) | 624907 | WELLCARE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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