MEDICARE: REBECCA MARIE OZIMEK 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
1	367A00000X	Advanced Practice Midwife	APRN-CNM281287	GA

General Provider Information

NPI Number	:	1437710126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA MARIE OZIMEK CNM

Provider Business Mailing Address
First Line	:	120 GREYSTONE POWER BLVD STE 100
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30157-8297
Country	:	US
Telephone Number	:	678-945-8345
Fax Number	:	470-956-1180

Provider Business Practice Location Address
First Line	:	120 GREYSTONE POWER BLVD STE 100
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30157-8297
Country	:	US
Telephone Number	:	678-945-8345
Fax Number	:	470-956-1180

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2019
Last Update Date	:	02/12/2026

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