Organization
LUMINA BIRTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LACY HENDERSON (OWNER)
(404) 692-0678
Entity
Organization
Contact information
Practice address
42 CLARENDON AVE, AVONDALE ESTATES, GA 30002-1403
(404) 964-1319
Mailing address
42 CLARENDON AVE, AVONDALE ESTATES, GA 30002-1403
(404) 964-1319
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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