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Individual

ANNA M CLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R050561
GA
367A00000X
Advanced Practice Midwife
RN088929
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00734896A
GA
Enumeration date
06/01/2006
Last updated
03/02/2012
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