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Contact Information

MARY T DAZEY, CNM
220 NORTHSIDE DRIVE
VALDOSTA, GA31602
 Phone: 229-241-2800
 Fax: 229-241-0454
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for MARY T DAZEY · (Female)

NPI Number 1871679571
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 10/27/2006
Last updated 08/23/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • GA License # R079997
  • GA Medicaid 00534465D
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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