NPI age
19 years
Enumerated 2007-01-26
Across 393 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000735314C | |
| 01 | 000735314C | PEACHSTATE HEALTH PLANS |
| 01 (GA) | 319492 | WELLCARE |
| 01 (GA) | 10039885 | AMERIGROUP |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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