Organization
INTOWN MIDWIFERY, LLC
Active
Other names
Intown Midwifery
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHEREE MCCLURE (ADMIN ASSIST/OFFICE LIAISON)
(678) 770-0728
Entity
Organization
Contact information
Practice address
5049 BENT TREE LOOP, STONE MOUNTAIN, GA 30083-1538
(678) 770-0728
Mailing address
285 BOULEVARD NE, STE 520, ATLANTA, GA 30312-4205
(404) 622-9810
(404) 265-2801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN184793
GA
367A00000X
Advanced Practice Midwife
Primary
RN029330
GA
367A00000X
Advanced Practice Midwife
RN184793
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00951651B
—
GA
Enumeration date
07/14/2010
Last updated
07/14/2010
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