Provider Demographics
NPI:1376909648
Name:ABRAMS, CORI (CNM)
Entity Type:Individual
Prefix:
First Name:CORI
Middle Name:
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4056 WETHERBURN WAY
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-4608
Mailing Address - Country:US
Mailing Address - Phone:678-554-5124
Mailing Address - Fax:
Practice Address - Street 1:4056 WETHERBURN WAY
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-4608
Practice Address - Country:US
Practice Address - Phone:678-554-5124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-02
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACNM3045367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
GACNM3045OtherAMCB