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Individual

JENNA TONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
2685 PEACHTREE PKWY STE 300, SUWANEE, GA 30024-1048
(770) 771-5270
Mailing address
1914 VARIATIONS DR NE, ATLANTA, GA 30329-1009
(310) 387-2135

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
CNM07804
GA
367A00000X
Advanced Practice Midwife
Primary
RN298050
GA

Other

Enumeration date
06/03/2022
Last updated
07/19/2022
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