NPI age
19 years
Enumerated 2006-07-14
Across 8826 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (MI) | 4878014 | |
| 05 (MI) | 4718932 |
Part of a multi-provider practice. 174 other active providers share this practice address in NPPES.
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