Provider Demographics
NPI:1396352530
Name:GRACE MIDWIFERY & WOMEN'S HEALTH
Entity type:Organization
Organization Name:GRACE MIDWIFERY & WOMEN'S HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NURSE MIDWIFE
Authorized Official - Prefix:DR
Authorized Official - First Name:CORI
Authorized Official - Middle Name:JANEL
Authorized Official - Last Name:ABRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, CNM
Authorized Official - Phone:520-255-6038
Mailing Address - Street 1:4056 WETHERBURN WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-1881
Mailing Address - Country:US
Mailing Address - Phone:520-255-6038
Mailing Address - Fax:470-488-3441
Practice Address - Street 1:4056 WETHERBURN WAY STE 200
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-1881
Practice Address - Country:US
Practice Address - Phone:520-255-6038
Practice Address - Fax:470-488-3441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN241303OtherGEORGIA BOARD OF NURSING