Healthcare Provider Details

I. General information

NPI: 1437710126
Provider Name (Legal Business Name): REBECCA MARIE OZIMEK CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2019
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 RIVERSTONE DR
CANTON GA
30114-5256
US

IV. Provider business mailing address

227 RIVERSTONE DR
CANTON GA
30114-5256
US

V. Phone/Fax

Practice location:
  • Phone: 770-720-7733
  • Fax: 770-720-7557
Mailing address:
  • Phone: 770-720-7733
  • Fax: 770-720-7557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN-CNM281287
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: