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Individual
SALLY A. MONROE
Active
Individual
SALLY A. MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN086301
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000417403D
—
GA
05
—
000417403I
—
GA
01
—
10046723
AMERIGROUP
GA
01
—
338803
WELLCARE
GA
Enumeration date
06/08/2006
Last updated
08/09/2011
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