Individual
TERESA MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
164 KING ARTHUR DR, LAWRENCEVILLE, GA 30046-4754
(404) 273-2223
Mailing address
164 KING ARTHUR DR, LAWRENCEVILLE, GA 30046-4754
(404) 273-2223
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11014410
GA
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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