NPI age
14 years
Enumerated 2011-07-25
Across 3206 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003129012E | |
| 01 (GA) | 20250I1898 | MEDICARE PTAN |
| 05 (GA) | 003129012C |
Solo or small practice. No other active providers share this practice address in NPPES.
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