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Organization

BIRTH BY GRACE MIDWIFERY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE TAYLOR CNM (CNM/OWNER)
(773) 304-7925
Entity
Organization

Contact information

Practice address
3832 RIDGEWOOD DR SE, SMYRNA, GA 30080-5926
(773) 304-7925
Mailing address
3832 RIDGEWOOD DR SE, SMYRNA, GA 30080-5926
(773) 304-7925

Taxonomy

Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
RN241382
GA

Other

Enumeration date
11/17/2015
Last updated
11/17/2015
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