NPI age
12 years
Enumerated 2014-02-14
Across 3206 active nurse practitioner providers in Georgia.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003149226A | |
| 01 (GA) | RN206925 | MEDICAL LICENSE |
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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