Individual
ANNA M CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2009 OLD LAFAYETTE RD, FT OGLETHORPE, GA 30742-3510
(706) 861-5950
(706) 858-0475
Mailing address
2009 OLD LAFAYETTE ROAD, FORT OGLETHORPE, GA 30742-3510
(706) 861-5950
(706) 858-0475
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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