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MRS. MARJORIE YVETTE ELIBERT CNM

>> Midwife >> Other Service Providers

Registrant NPI Number: 1134630858

Individual Registrant:
MRS. MARJORIE YVETTE ELIBERT CNM
Gender: F
Not Sole Proprietor

Location and contact information for practice:
190 HANDLEY RD STE A  TYRONE, GA 30290 US
Tel: 770-997-5714  Fax: 770-997-5828

Contact information for business:
190 HANDLEY RD STE A  TYRONE, GA 30290-2178 US
Tel: 770-997-5714  Fax: --

Registration Information:
NPI: 1134630858
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N176B00000XOther Service Providers
Midwife
GARN184038
N364SW0102XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
GARN184038
Y367A00000XPhysician Assistants & Advanced Practice Nursing Providers
Midwife, Certified Nurse
GARN184038

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1134630858GA05




HEALTH CARE JOBS GA - Page 1



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