Individual
SHANNON VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1 BALTIMORE PL NW STE 160, ATLANTA, GA 30308-2118
(404) 454-9715
Mailing address
1 BALTIMORE PL NW STE 160, ATLANTA, GA 30308-2118
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
LC000227
GA
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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