NPI age
9 years
Enumerated 2016-10-11
Across 8826 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (KY) | 7100477710 | |
| 01 | 13909647 | CAQH |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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