NPI age
19 years
Enumerated 2007-01-22
Across 8826 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 311920802 | |
| 01 (TX) | P01446964 | RR |
| 05 (TN) | 3908789 | |
| 01 (TX) | 8EH586 | BCBS |
| 05 (TX) | 311920801 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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