Melissa Brice, IBCLC, ALC
Individual provider Active NPI Lactation Consultant (Non-RN) · Dallas, GA
NPI 1003211079 · NPPES record last updated Nov 3, 2014
Key facts
- NPI
- 1003211079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Non-RN) 174N00000X
- License
- L 16318 (GA)
- Practice address
- 430 Parson Rd
Dallas, GA 30157 - Phone
- (404) 401-3542
- NPI assigned
- Nov 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L 16318 | GA | MD | Lactation Consultant (Non-RN) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L 16318 | GA | Yes |
Addresses
Primary practice location
430 Parson Rd
Dallas, GA 30157
Mailing address
430 Parson Rd
Dallas, GA 30157
Phone (404) 401-3542
Other providers in Dallas, GA
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- Charisse Alene Braxton
- Gabrielle Brendahl
- Bridave Healthcare LLC
- Amanda Bright
- Brikada Cares LLC
- Michelle Briley
- Courtney Brinson Butcher
All providers in Dallas, GA · Lactation Consultant (Non-RN) in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.