Individual
MRS. ANDREA M HARGRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
916 S BROAD ST, UNIT B-2, THOMASVILLE, GA 31792-6113
(229) 226-8800
(229) 226-8232
Mailing address
PO BOX 1479, THOMASVILLE, GA 31799-1479
(229) 226-8800
(229) 226-8232
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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