Individual
MRS. JACQUELINE HOOKS LANGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1701 HARDEE AVE SW, FT. MCPHERSON, GA 30330-1062
(404) 464-0320
Mailing address
546 RAYS RD, STONE MOUNTAIN, GA 30083-3143
(404) 299-5304
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
2392
NC
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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