Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | ||
N | 175M00000X | Lay Midwife |
NPI | 1083889877 |
---|---|
Provider Name | Mrs. Asiyah Daanya Muhsin-Thomas |
First Address | Stone Mountain, GA 30083-3096 |
Second Address | Stone Mountain, GA 30083-3096 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2008 |
Last Update Date | 11/01/2012 |