Healthcare Provider Details

I. General information

NPI: 1982648127
Provider Name (Legal Business Name): THE FAMILY HEALTH AND BIRTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 11/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1692 CHATHAM PKWY
SAVANNAH GA
31405-1350
US

IV. Provider business mailing address

1692 CHATHAM PKWY
SAVANNAH GA
31405-1350
US

V. Phone/Fax

Practice location:
  • Phone: 912-629-6262
  • Fax: 912-226-3268
Mailing address:
  • Phone: 912-629-6262
  • Fax: 912-226-3268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number025-003
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN051676
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN208618
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN055207
License Number StateGA
# 5
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN163679
License Number StateGA

VIII. Authorized Official

Name: MRS. NANCY I BELIN
Title or Position: OWNER
Credential: CNM
Phone: 912-629-6262