# GIFTED HANDS MIDWIFERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548966153
- **Authorized official:** KWAJALEIN RONTOYA CLEVELAND NPRN, CNM (OWNER)
- **Authorized official phone:** (470) 504-3856

## Contact information

- **Practice address:** 3905 HARRISON RD STE 500, LOGANVILLE, GA 30052-5895
- **Practice address phone:** (470) 504-3856
- **Mailing address:** 3905 HARRISON RD STE 500, LOGANVILLE, GA 30052-5895
- **Mailing address phone:** (470) 504-3856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | — | NULL | Yes |
| 367A00000X | Advanced Practice Midwife | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2023
- **Last updated:** 02/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | RN190949 | RN190949 | GA |