Individual
MRS. RUBY LARNA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
550 PEACHTREE STREET NE, SUITE 1275, ATLANTA, GA 30308
(404) 872-3121
(404) 872-3119
Mailing address
550 PEACHTREE ST NE STE 1275, ATLANTA, GA 30308-2240
(404) 872-3121
(404) 872-3119
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN098527
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000701489
—
GA
Enumeration date
11/07/2005
Last updated
09/30/2021
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