Organization
DACULA MIDWIFERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE LEE-GREGORY CNM (CERTIFIED NURSE MIDWIFE)
(470) 228-0842
Entity
Organization
Contact information
Practice address
2879 HERITAGE OAKS CIR, DACULA, GA 30019-7082
(678) 630-2669
(470) 201-1179
Mailing address
2879 HERITAGE OAKS CIR, DACULA, GA 30019-7082
(678) 630-2669
(470) 201-1179
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
RN185722
GA
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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