Individual
MARCIA HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
140 EAGLE SPRING CT, STE B, STOCKBRIDGE, GA 30281
(678) 413-4644
(678) 413-4624
Mailing address
2750 OWEN'S DRIVE, STE A, CONYERS, GA 30094
(678) 413-4644
(678) 413-4624
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN079076
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00412992B
—
GA
Enumeration date
11/07/2005
Last updated
08/17/2010
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