Individual
MRS. MARJORIE YVETTE ELIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
190 HANDLEY RD STE A, TYRONE, GA 30290
(770) 997-5714
(770) 997-5828
Mailing address
190 HANDLEY RD STE A, TYRONE, GA 30290-2178
(770) 997-5714
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
RN184038
GA
364SW0102X
Women's Health Clinical Nurse Specialist
RN184038
GA
367A00000X
Advanced Practice Midwife
Primary
RN184038
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134630858
—
GA
Enumeration date
10/20/2017
Last updated
01/10/2022
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