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NPI Code Detail

MEDICARE: GEORGIA BEGNAUD CNM

MEDICARE: GEORGIA BEGNAUD 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 Midwife4704165998MI

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 : 1720052376
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGIA BEGNAUD CNM
Provider Business Mailing Address
First Line : 50 INDUSTRIAL PARK DRIVE
Second Line :
City : BANGOR
State : MI
Zip : 49013-1246
Country : US
Telephone Number : 269-427-7937
Fax Number : 269-427-5180
Provider Business Practice Location Address
First Line : 800 M-139
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-4843
Country : US
Telephone Number : 269-927-5400
Fax Number : 269-927-5493
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 03/07/2023

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Directions to “ GEORGIA BEGNAUD CNM” Practice Location

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