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Individual

KAREN UYESUGI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1279 HIGHWAY 54 W, SUITE 220, FAYETTEVILLE, GA 30214-4550
(770) 991-2200
(770) 991-1341
Mailing address
1046 RIDGE AVE SW, SUITE 220, ATLANTA, GA 30315-1640
(404) 688-1350

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN090354
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN090354
GEORGIA LICENSE
GA
Enumeration date
05/29/2007
Last updated
04/22/2016
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