| NPI | 1174999023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA ANN MILLER Owener/Provider 706-610-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse Lactation Consultant (Licence: GA RN05842) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |