Individual
HEATHER HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, RLC
Contact information
Practice address
109 HERITAGE OAKS DR, BALL GROUND, GA 30107-6307
(706) 980-4028
Mailing address
109 HERITAGE OAKS DR, BALL GROUND, GA 30107-6307
(706) 980-4028
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
LC000137
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-35601
IBLCE
—
Enumeration date
10/12/2018
Last updated
10/12/2018
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