Organization
MOTHER NURTURE MATERNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE OWENS RN, IBCLC (OWNER)
(423) 557-9759
Entity
Organization
Contact information
Practice address
1794 SEPTEMBER WAY, DOUGLASVILLE, GA 30135-1192
(423) 557-9759
Mailing address
1794 SEPTEMBER WAY, DOUGLASVILLE, GA 30135-1192
(423) 557-9759
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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