Individual
BETTINA RENE' FAIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2300 MANCHESTER EXPY STE B001, COLUMBUS, GA 31904-6877
(706) 324-4891
Mailing address
2300 MANCHESTER EXPY STE B001, COLUMBUS, GA 31904-6877
(706) 324-4891
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
CNM1242
MS
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
04/01/2013
Last updated
11/26/2019
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