NPI age
15 years
Enumerated 2011-02-10
Across 950 active nurse practitioner providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 281884105 | CSHCN |
| 01 | 084020903 | CHILDREN W SPEC HCN |
| 05 (TX) | 281884104 | |
| 05 (TX) | 085144601 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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