Individual
ANTOINETTE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
1458 CHURCH ST STE B, DECATUR, GA 30030-1672
(404) 508-5014
(404) 508-5560
Mailing address
1458 CHURCH ST STE B, DECATUR, GA 30030-1672
(404) 508-5014
(404) 508-5560
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
CNM05255
GA
363LW0102X
Women's Health Nurse Practitioner
Primary
RN201008
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104671540
WHNP
—
01
—
CNM05255
MIDWIFE CERTIFICATION
—
01
—
RN201008
LICENSE
GA
Enumeration date
01/22/2019
Last updated
06/27/2025
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