Individual
MELISSA FAITH ANDERSON CLACKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
PO BOX 8, HIRAM, GA 30141-0008
(678) 770-4898
Mailing address
PO BOX 8, HIRAM, GA 30141-0008
(470) 256-5777
(678) 623-8889
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-303290
GA
Other
Enumeration date
06/29/2022
Last updated
03/04/2026
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