Individual provider · NPI-1
Delandra S Vinson, CPM
Midwife · Mableton, GA
NPI number1821386574
StatusActive
Last updated in NPPESFeb 15, 2024
Details
- NPI
- 1821386574
- Entity type
- Individual (NPI-1)
- Name
- Ms. Delandra S Vinson
- Credential
- CPM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2011
- Certification date
- Feb 15, 2024
- Last updated
- Feb 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 176B00000X | Midwife | – | – | Yes |
| 374J00000X | Doula | – | – |
Practice location
6093 Queens River DrMableton, GA 30126-7261
Phone 770-241-2078 · Fax 678-853-7915
Mailing address
6093 Queens River DrMableton, GA 30126-7261
Phone 770-241-2078 · Fax 678-805-0513
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