Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1164982666 |
---|---|
Provider Name | Sarah Kent |
First Address | Statesboro, GA 30458-9160 |
Second Address | Savannah, GA 31405-1350 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2019 |
Last Update Date | 21/03/2019 |