NPI age
5 years
Enumerated 2020-11-27
Across 8826 active nurse practitioner providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (IN) | 28205188A | RN LICENSE |
| 01 (IN) | 5270107579 | BMV |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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