NPI age
20 years
Enumerated 2006-05-05
Across 950 active nurse practitioner providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | F0897100 | CERTIFICATION |
| 01 (GA) | 2011004772 | CERTIFICATION |
Part of a multi-provider practice. 153 other active providers share this practice address in NPPES.
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