MEDICARE: DEBBIE PULLEY CPM

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	176B00000X	Midwife	95010001

General Provider Information

NPI Number	:	1780687699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBBIE PULLEY CPM

Provider Business Mailing Address
First Line	:	5257 ROSESTONE DR NW
Second Line	:
City	:	LILBURN
State	:	GA
Zip	:	30047-4893
Country	:	US
Telephone Number	:	770-381-2339
Fax Number	:

Provider Business Practice Location Address
First Line	:	5257 ROSESTONE DR NW
Second Line	:
City	:	LILBURN
State	:	GA
Zip	:	30047-4893
Country	:	US
Telephone Number	:	770-381-2339
Fax Number	:

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	10/01/2007

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Directions to “ DEBBIE PULLEY CPM” Practice Location

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