Organization
CANE CREEK MIDWIFERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON MARK SHAFER (GENERAL PARTNER)
(931) 622-3560
Entity
Organization
Contact information
Practice address
2281 MORGAN BRANCH RD, PLEASANTVILLE, TN 37033-2001
(931) 622-3561
Mailing address
2281 MORGAN BRANCH RD, PLEASANTVILLE, TN 37033-2001
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
CPM-TN000000046
TN
Other
Enumeration date
01/18/2018
Last updated
02/03/2023
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