NPI age
13 years
Enumerated 2012-09-24
Across 806 active nurse practitioner providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003153677B | |
| 05 (GA) | 003153677F |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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