Provider Demographics
NPI:1679312797
Name:FEEDING CIRCLE LLC
Entity type:Organization
Organization Name:FEEDING CIRCLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LACTATION CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:KAMA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, IBCLC
Authorized Official - Phone:814-873-2662
Mailing Address - Street 1:10645 CAULEY CREEK DR
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-7855
Mailing Address - Country:US
Mailing Address - Phone:814-873-2662
Mailing Address - Fax:
Practice Address - Street 1:10645 CAULEY CREEK DR
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-7855
Practice Address - Country:US
Practice Address - Phone:814-873-2662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty