Individual
ALLIE MAGALLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1062 FORSYTH ST STE 2A, MACON, GA 31201-8639
(478) 742-6738
Mailing address
1062 FORSYTH ST STE 2A, MACON, GA 31201-8639
(478) 742-6738
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN223097
GA
Other
Enumeration date
08/29/2017
Last updated
07/21/2022
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