Provider Demographics
NPI:1316507445
Name:FLEMING, MCKALE ASHLEY (BA, IBCLC, LMT)
Entity type:Individual
Prefix:
First Name:MCKALE
Middle Name:ASHLEY
Last Name:FLEMING
Suffix:
Gender:F
Credentials:BA, IBCLC, LMT
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Other - Middle Name:
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Mailing Address - Street 1:327 DAHLONEGA ST STE B1804
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-8217
Mailing Address - Country:US
Mailing Address - Phone:229-360-6676
Mailing Address - Fax:470-600-0925
Practice Address - Street 1:327 DAHLONEGA ST STE B1804
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-8217
Practice Address - Country:US
Practice Address - Phone:229-360-6676
Practice Address - Fax:470-600-0925
Is Sole Proprietor?:No
Enumeration Date:2019-06-20
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA171400000X, 133N00000X
GAMT006471225700000X
GAL-302590174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No171400000XOther Service ProvidersHealth & Wellness Coach
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No133N00000XDietary & Nutritional Service ProvidersNutritionist