Individual
MELISSA TERRY FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN067040
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000480246F
—
GA
Enumeration date
06/30/2005
Last updated
08/07/2024
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