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VIRGINIA HAWK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
2398 MOUNT VERNON RD, SUITE 150, DUNWOODY, GA 30338-3064
(770) 512-7099
(770) 512-7090
Mailing address
2398 MOUNT VERNON RD, SUITE 150, DUNWOODY, GA 30338-3064
(770) 512-7099
(770) 512-7090

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN048204
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00800137A
GA
05
00800137B
GA
Enumeration date
12/26/2006
Last updated
08/24/2011
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