Individual
SUSAN K ORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1199 PRINCE AVE, MIDWIFERY DEPARTMENT, ATHENS, GA 30606-2797
(706) 475-5700
(706) 475-5718
Mailing address
1199 PRINCE AVE, MIDWIFERY DEPARTMENT, ATHENS, GA 30606-2797
(706) 475-5700
(706) 475-5718
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
RN104264
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN104264
NURSING LICENSE
GA
Enumeration date
02/09/2007
Last updated
07/08/2007
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