Individual
ANNIE LADISIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1015 MANSELL RD, ROSWELL, GA 30076-1507
(770) 521-2229
Mailing address
3087 PEACHTREE DR NE, ATLANTA, GA 30305-2760
(404) 803-1926
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
299296
GA
Other
Enumeration date
12/29/2020
Last updated
10/15/2025
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