NPI age
19 years
Enumerated 2007-01-29
Across 8826 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 456049624F | |
| 05 (SC) | NP1214 | |
| 01 (GA) | 01191238 | AMERIGROUP |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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