Individual
CAROL A GOURLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
550 PEACHTREE ST, ATLANTA, GA 30308-2225
(404) 686-3643
(404) 778-4819
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-7402
(404) 778-4819
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
RN096387
GA
Other
Enumeration date
05/15/2006
Last updated
07/08/2007
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