Provider Demographics
NPI:1992028195
Name:PILLSBURY, ALICIA (CLD)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:
Last Name:PILLSBURY
Suffix:
Gender:F
Credentials:CLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 HALCYON WAY
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-7347
Mailing Address - Country:US
Mailing Address - Phone:678-377-5282
Mailing Address - Fax:
Practice Address - Street 1:2202 HALCYON WAY
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-7347
Practice Address - Country:US
Practice Address - Phone:678-377-5282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula