Healthcare Provider Details

I. General information

NPI: 1508782970
Provider Name (Legal Business Name): ATLANTA LACTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 KIMBERLY LN NE
ATLANTA GA
30306-2225
US

IV. Provider business mailing address

622 KIMBERLY LN NE
ATLANTA GA
30306-2225
US

V. Phone/Fax

Practice location:
  • Phone: 404-793-3300
  • Fax: 404-481-2026
Mailing address:
  • Phone: 404-793-3300
  • Fax: 404-481-2026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE MORRISON
Title or Position: FOUNDER/OWNER
Credential: IBCLC
Phone: 404-281-1662