Provider Demographics
NPI:1639799372
Name:HOWINGTON, JEAN G (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:G
Last Name:HOWINGTON
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4520 BARTOW CARVER RD SE APT 3
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30102-2669
Mailing Address - Country:US
Mailing Address - Phone:770-289-6129
Mailing Address - Fax:
Practice Address - Street 1:4520 BARTOW CARVER RD SE APT 3
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30102-2669
Practice Address - Country:US
Practice Address - Phone:770-289-6129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-22
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALC000181174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN