NPI age
12 years
Enumerated 2013-08-04
Across 280 active nurse practitioner providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (OH) | 0095160 | |
| 01 (OH) | COI.15443-NP | OHIO STATE LICENSE |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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