NPI age
19 years
Enumerated 2007-02-08
Across 128 active registered nurse providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1124169859 | NPI # |
| 01 (GA) | 52005740 | BCBS |
Multi-provider organization. 1 individual provider on file at this primary address.
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