Individual
MARY GILLMOR-KAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
80 JESSE HILL JR DR SE # 26105, GRADY HEALTH SYSTEM, GYN/OB CLINIC, ATLANTA, GA 30303-3031
(404) 616-4898
(404) 616-2904
Mailing address
69 JESSE HILL JR DR SE, EMORY UNIVERSITY GYN/OB DEPT. 4TH FLOOR, ATLANTA, GA 30303-3033
(404) 616-4898
(404) 616-2904
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN043355
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00507779A
—
GA
01
—
4921
ACNM CERTIFICATION NUMBER
—
01
—
RN043355
RN LICENSE NUMBER-CNM
GA
Enumeration date
09/26/2006
Last updated
07/09/2007
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