NPI age
20 years
Enumerated 2005-11-09
Across 8826 active nurse practitioner providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 352012332A | |
| 05 (GA) | 352012332B |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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