Individual
COURTNEY STALLWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN IBCLC
Contact information
Practice address
113 S. PERRY STREET, SUITE 206 #9313, LAWRENCEVILLE, GA 30046
(678) 712-8583
Mailing address
113 S. PERRY STREET, SUITE 206 #9313, LAWRENCEVILLE, GA 30046
(678) 712-8583
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
201879
TN
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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