Elibert, Marjorie Yvette

Elibert, Marjorie Yvette is an individual health care provider with primary practice located at 190 Handley Rd Ste A , Tyrone GA 30290. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Elibert, Marjorie Yvette can be contacted via phone (770) 997-5714.

Contact Information

Primary practice address
190 Handley Rd Ste A Tyrone GA 30290
Phone: (770) 997-5714
Fax: (770) 997-5828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X RN184038 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 364SW0102X RN184038 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN184038 Georgia

Profile Details

NPI number 1134630858
LBN Legal business name Elibert, Marjorie Yvette
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2017
Last updated Jan 10th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134630858 NPPES
Georgia MEDICAID 1134630858

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