Organization
SOUTHEAST MATERNAL MEDICAL SUPPLY INC
Active
Other names
Southeast Maternal Medical & Pediatric Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JULEE KRECHEL IBCLC (PRESIDENT)
(843) 310-4650
Entity
Organization
Contact information
Practice address
14323 OCEAN HWY UNIT 4103, PAWLEYS ISLAND, SC 29585-4817
(843) 310-4650
Mailing address
PO BOX 2036, PAWLEYS ISLAND, SC 29585-2036
(843) 310-4650
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4649
SC
174N00000X
Lactation Consultant (Non-RN)
L-49698
SC
Other
Enumeration date
07/07/2014
Last updated
09/24/2024
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