Provider Demographics
NPI:1023235132
Name:DELK, GENEVIEVE E (CNM)
Entity type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:E
Last Name:DELK
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5082 PHILLIPS RD
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31601-7836
Mailing Address - Country:US
Mailing Address - Phone:229-242-6677
Mailing Address - Fax:229-242-1870
Practice Address - Street 1:2601 BEMISS RD
Practice Address - Street 2:SUITE A
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-1445
Practice Address - Country:US
Practice Address - Phone:229-242-6677
Practice Address - Fax:229-242-1870
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN150531367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife