Healthcare Provider Details

I. General information

NPI: 1063576338
Provider Name (Legal Business Name): KAREN L. WOODS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN L. MORRISON CNM

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 03/22/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 MOUNT ZION PKWY
JONESBORO GA
30236
US

IV. Provider business mailing address

3495 PIEDMONT RD NE
ATLANTA GA
30305-1717
US

V. Phone/Fax

Practice location:
  • Phone: 404-365-0966
  • Fax:
Mailing address:
  • Phone: 404-365-0966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN187133
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: