NPI age
20 years
Enumerated 2005-12-02
Across 8826 active nurse practitioner providers in Georgia.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 738974330C | |
| 01 (GA) | P00847058 | MEDICARE RAILROAD |
| 01 (GA) | 571471 | WELLCARE |
| 05 (GA) | 738974330B | |
| 01 (GA) | 01341907 | AMERIGROUP |
Part of a multi-provider practice. 33 other active providers share this practice address in NPPES.
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