Organization
ATHENSBORN BIRTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE DEWOLF IBCLC, CLD (OWNER, LACTATION CONSULTANT, DOULA)
(706) 223-0808
Entity
Organization
Contact information
Practice address
205 HARDWOOD RD, LEXINGTON, GA 30648-2148
(706) 223-0808
Mailing address
205 HARDWOOD RD, LEXINGTON, GA 30648-2148
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
GA
374J00000X
Doula
—
GA
Other
Enumeration date
02/10/2018
Last updated
09/20/2018
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