NPI age
12 years
Enumerated 2013-07-30
Across 929 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 20131487 | PNCB |
| 01 (MD) | R177566 | NURSING LICENSE |
| 05 (GA) | 003258429F |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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