Melissa Brice, IBCLC, ALC
Lactation Consultant, Non-RN in Dallas, GA. Individual provider (NPI-1).
NPI number1003211079
StatusActive
Last updated in NPPESNov 3, 2014
Details
- NPI
- 1003211079
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Melissa Brice
- Credential
- IBCLC, ALC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 3, 2014
- Last updated
- Nov 3, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174N00000X | Lactation Consultant, Non-RN | L 16318 | GA | Yes |
Practice location
430 Parson RdDallas, GA 30157
Phone 404-401-3542
Mailing address
430 Parson RdDallas, GA 30157
Phone 404-401-3542
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