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Individual

MARY BRIANNA COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
2918 E WALNUT AVE, DALTON, GA 30721-8724
(706) 529-4600
(706) 529-4633
Mailing address
2918 E WALNUT AVE, DALTON, GA 30721-8724
(706) 529-4600
(706) 529-4633

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-303168
GA

Other

Enumeration date
07/27/2021
Last updated
09/10/2021
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