Individual
CHRISTINE WIEBERDINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
4654 OAKLEY PIRKLE RD, MARTINEZ, GA 30907-8852
(706) 373-0495
Mailing address
4654 OAKLEY PIRKLE RD, MARTINEZ, GA 30907-8852
(706) 373-0495
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LMW-0049
SC
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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