MEDICARE: MAMA COACH - BRITTANY EDWARDS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WL0100X	Lactation Consultant (Registered Nurse)

General Provider Information

NPI Number	:	1487505194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAMA COACH - BRITTANY EDWARDS LLC

Provider Business Mailing Address
First Line	:	5343 HIGHLAND PINE LN
Second Line	:
City	:	MABLETON
State	:	GA
Zip	:	30126-5697
Country	:	US
Telephone Number	:	469-712-4138
Fax Number	:

Provider Business Practice Location Address
First Line	:	1326 CONCORD RD SE STE A
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-5309
Country	:	US
Telephone Number	:	469-712-4138
Fax Number	:

Authorized Official
Title or Position	:	OWNER, PROVIDER
Name	:	MRS. BRITTANY H EDWARDS
Credential	:	APRN, IBCLC
Telephone Number	:	469-712-4138

Provider Enumeration Date	:	02/07/2026
Last Update Date	:	02/07/2026

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