NPI age
19 years
Enumerated 2006-07-26
Across 107 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 50BBKMC | OLD MEDICARE PTAN - TERM'D 9/29/07 FOR NON-BILLING |
| 05 (GA) | 930276241B | |
| 05 (GA) | 930276241A |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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