NPI age
6 years
Enumerated 2019-09-11
Across 8826 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 003232886R | MEDICAID |
| 01 (GA) | RN184724 | PROFESSIONAL LICENSE |
| 01 (GA) | 1699324707 | NPI |
| 01 (GA) | G17368B | MEDICARE PROVIDER ID |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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