NPI 1194861435

Susan Cockburn, CNM

Practitioner Advanced Practice Midwife Dalton, GA

Practice location

Address: 1105 Burleyson Rd, Dalton, GA 30720-3017
Phone: (706) 278-4640
Fax: (706) 275-6599

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence R052096 (GA)

Other Advanced Practice Midwife providers in Georgia →

Registry record

NPI: 1194861435
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jan 2007
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.