NPI age
7 years
Enumerated 2018-07-14
Across 8826 active nurse practitioner providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 46-4599729 | FAMILY PRACTICE |
| 01 (GA) | 287975 | STATE LICENSE |
| 01 (SC) | 29689 | FAMILYPRACTICE |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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