Provider Demographics
NPI:1174999023
Name:NATURAL CHOICE BIRTH & BREASTFEEDING, LLC
Entity type:Organization
Organization Name:NATURAL CHOICE BIRTH & BREASTFEEDING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, IBCLC
Authorized Official - Phone:706-610-4332
Mailing Address - Street 1:5028 MONTEGO DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-3423
Mailing Address - Country:US
Mailing Address - Phone:706-610-4332
Mailing Address - Fax:706-221-6870
Practice Address - Street 1:1329 WYNNTON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31906-2919
Practice Address - Country:US
Practice Address - Phone:706-610-4332
Practice Address - Fax:706-221-6870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-14
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN05842163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty