Individual
MRS. ALYSSA BANTZ HINDMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4805 TILLY MILL RD, ATLANTA, GA 30360-1909
(470) 552-9009
Mailing address
3039 SCOTT RD, MARIETTA, GA 30066-3701
(772) 828-1647
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
RN233925
GA
Other
Enumeration date
06/21/2017
Last updated
10/25/2021
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