Provider Demographics
NPI:1932624947
Name:SAAVEDRA, EBONY ASHLEY (CNM)
Entity type:Individual
Prefix:
First Name:EBONY
Middle Name:ASHLEY
Last Name:SAAVEDRA
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2000 CLEARVIEW AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:DORAVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30340-2137
Mailing Address - Country:US
Mailing Address - Phone:770-451-3100
Mailing Address - Fax:770-451-3343
Practice Address - Street 1:2000 CLEARVIEW AVE STE 111
Practice Address - Street 2:
Practice Address - City:DORAVILLE
Practice Address - State:GA
Practice Address - Zip Code:30340-2137
Practice Address - Country:US
Practice Address - Phone:770-451-3100
Practice Address - Fax:770-451-3343
Is Sole Proprietor?:No
Enumeration Date:2017-08-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife