Provider Demographics
NPI:1538944038
Name:QUALLS, CATHERINE LEIGH (IBCLC)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:LEIGH
Last Name:QUALLS
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1637 S TIMBER DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7810
Mailing Address - Country:US
Mailing Address - Phone:615-579-8019
Mailing Address - Fax:
Practice Address - Street 1:207 MONKS WAY
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-2907
Practice Address - Country:US
Practice Address - Phone:615-686-7884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN