Individual
GRACE WELLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM-TN
Contact information
Practice address
208 E MADISON AVE, ATHENS, TN 37303-3646
(423) 252-4555
(423) 370-1799
Mailing address
PO BOX 121, ATHENS, TN 37371-0121
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
170
TN
Other
Enumeration date
09/10/2024
Last updated
09/22/2025
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