Individual
MS. STACY M ULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1279 HIGHWAY 54 W STE 220, FAYETTEVILLE, GA 30214-4552
(770) 991-2200
(770) 991-1341
Mailing address
1279 HIGHWAY 54 W STE 220, FAYETTEVILLE, GA 30214-4552
(770) 991-2200
(770) 991-1341
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN208240
GA
Other
Enumeration date
09/16/2013
Last updated
10/17/2017
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