Individual
BETH-MARIE TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
3078 SAN JOSE DR, DECATUR, GA 30032-4508
(404) 918-3322
Mailing address
3078 SAN JOSE DR, DECATUR, GA 30032-4508
(404) 918-3322
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
304027
GA
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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