Individual
KATHERINE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
190 HANDLEY RD STE A, TYRONE, GA 30290-2178
(770) 997-5714
Mailing address
5385 PRANCING PASS, CUMMING, GA 30040-1330
(404) 520-0144
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN216233
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN216233
APRN
GA
Enumeration date
04/14/2018
Last updated
08/27/2024
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