Individual
MS. TANYA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1199 PRINCE AVE, MIDWIFERY CLINIC, ATHENS, GA 30606-2797
(706) 475-4917
Mailing address
2727 PACES FERRY ROAD, SUITE 1-1100, ATLANTA, GA 30339
(470) 271-3421
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
0024180339
VA
367A00000X
Advanced Practice Midwife
Primary
RN144073
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
966945676A
—
GA
Enumeration date
12/27/2006
Last updated
04/23/2024
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