Individual
CHRISTINA TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
11 DUNWOODY PARK, SUITE 100, ATLANTA, GA 30338-7408
(770) 730-0451
(770) 730-0141
Mailing address
5780 PEACHTREE DUNWOODY RD, SUITE 300, ATLANTA, GA 30342-1554
(404) 303-1224
(404) 303-1325
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN109252
GA
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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