NPI age
13 years
Enumerated 2013-02-04
Across 8826 active nurse practitioner providers in Georgia.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 03724060 | AMERIGROUP |
| 01 (GA) | 003171151A | PEACH STATE |
| 01 (GA) | 1176902 | WELLCARE |
| 05 (GA) | 003171151A | |
| 05 (GA) | 003171151B | |
| 01 (GA) | 003171151B | PEACH STATE |
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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