Individual
CHARLOTTE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1279 HIGHWAY 54 W, SUITE 220, FAYETTEVILLE, GA 30214-4550
(770) 991-2200
(770) 991-1341
Mailing address
1279 HIGHWAY 54 W, SUITE 220, FAYETTEVILLE, GA 30214-4550
(770) 991-2200
(770) 991-1341
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN067048
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN067048
LICENSE
GA
Enumeration date
05/22/2007
Last updated
07/08/2007
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