NPI age
20 years
Enumerated 2005-09-20
Across 2157 active nurse anesthetist, certified registered providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00074Z013D | |
| 05 (GA) | 000742013G | |
| 01 (GA) | 968115 | BCBS PROVIDER NUM |
Solo or small practice. No other active providers share this practice address in NPPES.
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