Individual
MICHELLE JENNIFER BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2941 MINERAL SPRINGS RD, WAYNESVILLE, GA 31566-4141
(732) 207-8681
Mailing address
2941 MINERAL SPRINGS RD, WAYNESVILLE, GA 31566-4141
(732) 207-8681
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
LC000118
GA
374J00000X
Doula
—
—
Other
Enumeration date
09/01/2018
Last updated
04/22/2024
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