Organization
COUNTRY LIFE MIDWIFERY SERVICES
Active
Parent organization
LIFESTYLE MINISTRIES INCORPORATED
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESTYLE MINISTRIES INCORPORATED
Authorized official
MRS. HEATHER YVONE WILSON CNM (MIDWIFERY)
(615) 646-7300
Entity
Organization
Contact information
Practice address
4554 HILLTOP ROAD, PEGRAM, TN 37143
(615) 646-7300
(615) 646-7331
Mailing address
4554 HILLTOP ROAD, PEGRAM, TN 37143
(615) 646-7300
(615) 646-7331
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
CPM0000000007
TN
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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