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GEORGIA UNIFORM HEALTHCARE PRACTITIONER CREDENTIALING APPLICATION FORM ***************PART TWO*************** GEORGIA ASSOCIATION OF HEALTH PLANS I. Personal Identification Last Name (include suffix;
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Georgia Uniform Healthcare Practitioner is a form that healthcare practitioners in Georgia are required to file in order to provide information about their professional practice.
Healthcare practitioners in Georgia are required to file Georgia Uniform Healthcare Practitioner.
Georgia Uniform Healthcare Practitioner can be filled out online or by mail, providing information about the practitioner's professional practice.
The purpose of Georgia Uniform Healthcare Practitioner is to collect information about healthcare practitioners' professional practice in order to maintain accurate records.
Information such as the practitioner's license number, contact information, specialties, and practice locations must be reported on Georgia Uniform Healthcare Practitioner.
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