Most Relevant Information
Provider Data
| NPI Number: | 1003211079 |
| Provider Name: | MELISSA BRICE IBCLC, ALC |
| Entity Type: | Individual |
| Taxonomy Code: | 174N00000X |
| Specialty: | Lactation Consultant, Non-RN |
| License Number: | L 16318 |
Most Important Dates
| Enumeration Date: | 11/03/2014 |
| Last Updated: | 11/03/2014 |
Provider Practice Location
430 PARSON RD
DALLAS
GA
30157
Practice Location Phone/Fax
| Phone: | 4044013542 |
| Fax: |
Provider Mailing Location
430 PARSON RD
DALLAS
GA
30157
Provider Mailing Phone/Fax
| Phone: | 4044013542 |
| Fax: |