Provider Demographics
NPI:1619689759
Name:MILLWOOD, LINDSAY BRYAN (CD(DONA))
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:BRYAN
Last Name:MILLWOOD
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:BRYAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CD(DONA)
Mailing Address - Street 1:112 TWISTED HILL RD
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-2049
Mailing Address - Country:US
Mailing Address - Phone:404-314-0363
Mailing Address - Fax:
Practice Address - Street 1:112 TWISTED HILL RD
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-2049
Practice Address - Country:US
Practice Address - Phone:404-314-0363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula