Doctor Name: | JUDY CASE |
NPI Number: | 1225453772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, IBCLC |
License Number: | 56787 |
Business Practice Address: | 4 E Mill Ct Taylors, SC - 296875107 |
Business Phone Number: | 8649822685 |
Business Fax Number: | |
Mailing Address: | 4 E Mill Ct, TAYLORS |
State: | SC |
Postal Code: | 296875107 |
Phone Number: | 8649822685 |
Fax Number: | |
NPI Enumeration Date: | 02/20/2014 |
NPI Last Update Date: | 02/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WL0100X |
License Number: | 56787 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Lactation Consultant |
Taxonomy Definition: |