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NPI Code Detail

MEDICARE: TUNIKA MARIAH THERESA LARODE CNM

MEDICARE:   TUNIKA MARIAH THERESA LARODE  CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice MidwifeRN245026GA
2367A00000XAdvanced Practice Midwife40764TN

General Provider Information

NPI Number : 1336780840
Entity Type Code : Individual
Provider Name (Legal Business Name) : TUNIKA MARIAH THERESA LARODE CNM
Provider Business Mailing Address
First Line : 20 DREW CT
Second Line :
City : DALLAS
State : GA
Zip : 30157-6994
Country : US
Telephone Number : 347-844-8732
Fax Number :
Provider Business Practice Location Address
First Line : 4181 HOSPITAL DR NE STE 104
Second Line :
City : COVINGTON
State : GA
Zip : 30014-2541
Country : US
Telephone Number : 770-385-8954
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2019
Last Update Date : 03/02/2026

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Directions to “ TUNIKA MARIAH THERESA LARODE CNM” Practice Location

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