NPI age
20 years
Enumerated 2006-04-06
Across 3206 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 300035305B | |
| 01 | 50BBDWC | MEDICARE |
| 05 (GA) | 651375375A | |
| 01 | CEP12680 | RN PROVIDER ID |
| 05 (GA) | 000902327A |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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