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Individual

MRS. ANDREA M HARGRAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN148927
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000867831F
GA
05
00867831A
GA
05
00867831C
GA
Enumeration date
05/24/2006
Last updated
03/19/2015
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