Individual
MRS. KATIE IRENE CHISOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
565 MCINTOSH RD, CARTHAGE, NC 28327-8594
(910) 245-7276
Mailing address
565 MCINTOSH RD, CARTHAGE, NC 28327-8594
(910) 245-7276
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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