Individual
TRACY DARLENE GAUDLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC, LIC LC
Contact information
Practice address
575 BOULEVARD SE, ATLANTA, GA 30312-3464
(404) 454-9751
Mailing address
575 BOULEVARD SE, ATLANTA, GA 30312-3464
(404) 454-9751
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
LC000086
GA
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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