# INTOWN MIDWIFERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Intown Midwifery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902118334
- **Authorized official:** MISS SHEREE MCCLURE (ADMIN ASSIST/OFFICE LIAISON)
- **Authorized official phone:** (678) 770-0728

## Contact information

- **Practice address:** 5049 BENT TREE LOOP, STONE MOUNTAIN, GA 30083-1538
- **Practice address phone:** (678) 770-0728
- **Mailing address:** 285 BOULEVARD NE, STE 520, ATLANTA, GA 30312-4205
- **Mailing address phone:** (404) 622-9810
- **Mailing address fax:** (404) 265-2801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | RN184793 | GA | — |
| 367A00000X | Advanced Practice Midwife | RN029330 | GA | Yes |
| 367A00000X | Advanced Practice Midwife | RN184793 | GA | — |

## Other

- **Enumeration date:** 07/14/2010
- **Last updated:** 07/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00951651B | — | GA |