NPI age
18 years
Enumerated 2007-06-29
Across 3207 active registered nurse providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | RN143664 | RN LICENSE |
| 01 | 06081973 | BIRTH DATE |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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