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NPI Code Detail

MEDICARE: ANNA M CLINE CNM

MEDICARE: ANNA M CLINE 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 MidwifeR050561GA
2367A00000XAdvanced Practice MidwifeRN088929TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467499095
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA M CLINE CNM
Provider Business Mailing Address
First Line : 2009 OLD LAFAYETTE ROAD
Second Line :
City : FORT OGLETHORPE
State : GA
Zip : 30742-3510
Country : US
Telephone Number : 706-861-5950
Fax Number : 706-858-0475
Provider Business Practice Location Address
First Line : 2009 OLD LAFAYETTE RD
Second Line :
City : FT OGLETHORPE
State : GA
Zip : 30742-3510
Country : US
Telephone Number : 706-861-5950
Fax Number : 706-858-0475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 03/02/2012

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Practice Location Address:
2007 OLD LAFAYETTE RD
FT OGLETHORPE, GA
30742-3510
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Practice Fax: 706-866-4740
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Practice Location Address:
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FT OGLETHORPE, GA
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Practice Fax: 706-866-4740
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Practice Location Address:
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FT OGLETHORPE, GA
30742-3510
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Practice Fax:
1194236323 — CHRISTINE BROYLES
Practice Location Address:
2007 OLD LAFAYETTE RD
FT OGLETHORPE, GA
30742-3510
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1093226573 — AMBER BROOKE MOORE
Practice Location Address:
2007 OLD LAFAYETTE RD
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Directions to “ ANNA M CLINE CNM” Practice Location

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