Provider Demographics
NPI:1558844308
Name:BIRTHFIELD, NAKAIYA (CLC)
Entity Type:Individual
Prefix:MRS
First Name:NAKAIYA
Middle Name:
Last Name:BIRTHFIELD
Suffix:
Gender:F
Credentials:CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:795 ROCKBOROUGH DR
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-3813
Mailing Address - Country:US
Mailing Address - Phone:404-457-1201
Mailing Address - Fax:
Practice Address - Street 1:622 KIMBERLY LN NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30306-2225
Practice Address - Country:US
Practice Address - Phone:404-457-1201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN