NPI age
8 years
Enumerated 2017-06-21
Across 8826 active nurse practitioner providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0035TD | BLUE CROSS BLUE SHIELD OF TEXAS GRP REC # |
| 05 (TX) | 153449704 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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