Individual
MRS. MELISSA BRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, ALC
Contact information
Practice address
430 PARSON RD, DALLAS, GA 30157
(404) 401-3542
Mailing address
430 PARSON RD, DALLAS, GA 30157
(404) 401-3542
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L 16318
GA
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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