Individual
MRS. KARLINE WILSON MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2675 N DECATUR RD, STE 512, DECATUR, GA 30033-6131
(404) 508-2000
(404) 508-5560
Mailing address
37 TAWN CRESCENT, AJAX, ONTARIO L1Z1H-9
(416) 909-1791
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
ARNP1967452
FL
367A00000X
Advanced Practice Midwife
Primary
RN168891
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
611377940AB
—
GA
01
—
GRP632
GROUP MEDICARE
—
Enumeration date
09/14/2005
Last updated
01/03/2014
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