Individual
MRS. LYNETTE MARIE TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
603 E LAMAR ST, AMERICUS, GA 31709-3737
(229) 928-3444
(229) 928-3446
Mailing address
603 E LAMAR ST, AMERICUS, GA 31709-3737
(229) 928-3444
(229) 928-3446
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
RN156813
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10435
ACNM CERTIFICATION
—
05
—
738979380A
—
GA
01
—
RN156813
CNM LICENSE
GA
Enumeration date
11/06/2008
Last updated
12/18/2023
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