Individual
MRS. ANTOINETTE PETA-GAY LEE-GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-0493
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3294
(678) 312-3282
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
RN185722CNM
GA
367A00000X
Advanced Practice Midwife
Primary
APRN-CNM185722
GA
Other
Enumeration date
07/26/2011
Last updated
04/15/2026
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