Individual
SHANNON MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
290 COUNTRY CLUB DR STE 210, STOCKBRIDGE, GA 30281-9022
(770) 538-1723
(470) 202-9820
Mailing address
290 COUNTRY CLUB DR, STOCKBRIDGE, GA 30281-9069
(770) 538-1723
(470) 202-9820
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
RN159998
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003129843B
—
GA
Enumeration date
12/12/2012
Last updated
10/19/2021
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