Individual
THELMA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
109 OSIGIAN BLVD, SUITE 300, WARNER ROBINS, GA 31088-8922
(678) 904-5275
(404) 574-5965
Mailing address
550 PEACHTREE ST NE, SUITE 1275, ATLANTA, GA 30308-2208
(404) 872-3121
(404) 574-5965
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN062117
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN062117
CNM LICENSE
GA
Enumeration date
04/28/2014
Last updated
04/28/2014
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