Individual
MRS. JANET I FEDULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1360 UPPER HEMBREE RD STE 101, ROSWELL, GA 30076-1230
(770) 817-1970
(770) 817-1980
Mailing address
1360 UPPER HEMBREE RD STE 101, ROSWELL, GA 30076-1230
(770) 817-1970
(770) 817-1980
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
12027
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
621178892
TAX ID
TN
Enumeration date
05/18/2006
Last updated
11/18/2010
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