NPI age
10 years
Enumerated 2015-09-08
Across 929 active nurse practitioner providers in Georgia.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | RN 175466 | GEORGIA LICENSE |
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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