Individual
LORA MARIE HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3240 AVALON BLVD, CONYERS, GA 30013-6320
(770) 860-1133
(770) 860-1599
Mailing address
3240 AVALON BLVD, CONYERS, GA 30013-6320
(770) 860-1133
(770) 860-1599
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN258583
GA
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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