Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1023563624 |
---|---|
Provider Name | Meredith Comer |
First Address | Elkin, NC 28621-8821 |
Second Address | Elkin, NC 28621-8821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2016 |
Last Update Date | 24/08/2016 |