Individual
MRS. SHILICIA MCFOWLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
4814 SPRINGFIELD DR, DUNWOODY, GA 30338-4914
(405) 816-0389
Mailing address
4814 SPRINGFIELD DR, DUNWOODY, GA 30338-4914
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-119516-112
KS
163WL0100X
Lactation Consultant (Registered Nurse)
L-135799
KS
Other
Enumeration date
12/08/2022
Last updated
12/09/2022
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