Individual
MRS. SHANNON LEIGH COLVIN BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC CNM
Contact information
Practice address
6095 PROFESSIONAL PKWY, SUITE A210, DOUGLASVILLE, GA 30134-5607
(770) 949-4188
(770) 949-1614
Mailing address
6095 PROFESSIONAL PKWY, SUITE A210, DOUGLASVILLE, GA 30134-5607
(770) 949-4188
(770) 949-1614
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
144273
GA
Other
Enumeration date
07/14/2009
Last updated
05/23/2024
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