Individual
MRS. MELINDA J KOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
109 SCHOLAR RD, GUYTON, GA 31312-6296
(912) 601-2598
Mailing address
109 SCHOLAR RD, GUYTON, GA 31312-6296
(912) 601-2598
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11013974
—
Other
Enumeration date
07/14/2011
Last updated
12/09/2013
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