NPI age
19 years
Enumerated 2007-01-23
Across 393 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00843752B | |
| 01 (GA) | 000843752B | PEACH STATE |
| 01 (GA) | 00843752B | WELLCARE |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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