Provider Demographics
NPI:1417520610
Name:POFF, BRITTNEY MICHELLE (IBCLC, CBD, CPD)
Entity Type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:MICHELLE
Last Name:POFF
Suffix:
Gender:F
Credentials:IBCLC, CBD, CPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 WILLOW SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30705-7905
Mailing Address - Country:US
Mailing Address - Phone:706-218-0476
Mailing Address - Fax:
Practice Address - Street 1:75 WILLOW SPRINGS RD
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:GA
Practice Address - Zip Code:30705-7905
Practice Address - Country:US
Practice Address - Phone:706-218-0476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-23
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA144466BP374J00000X
GAL-303342174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula