NPI age
18 years
Enumerated 2007-06-21
Across 3206 active nurse practitioner providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 544900 | WELLCARE |
| 01 (GA) | P00714516 | RR MEDICARE |
| 05 (SC) | NP2498 | |
| 01 | 01366588 | AMERIGROUP |
| 05 (GA) | 034647725B | |
| 01 (GA) | 511I500980 | TERM'D MEDICARE PTAN |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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