NPI age
20 years
Enumerated 2006-05-24
Across 8826 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 500020776 | RR MEDICARE-GRP # CC4177 |
| 05 (GA) | 000706384A | |
| 01 (GA) | 10053490 | AMERIGROUP |
| 01 (GA) | 335920 | WELLCARE |
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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