Provider Demographics
NPI:1609589050
Name:SANCHEZ, CHARLOTTE ANNE (LM, CPM)
Entity Type:Individual
Prefix:MS
First Name:CHARLOTTE
Middle Name:ANNE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3984
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30023-3984
Mailing Address - Country:US
Mailing Address - Phone:404-918-4581
Mailing Address - Fax:229-999-4315
Practice Address - Street 1:530 PEARL COVE CT
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-2968
Practice Address - Country:US
Practice Address - Phone:404-918-4581
Practice Address - Fax:229-999-4315
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-30
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKMIDW0035176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty