Courtney Stallworth, BSN RN IBCLC

NPI 1417728684 · on the registry since 2024 · sole proprietor

Practice

Address: 113 S. Perry Street
Suite 206 #9313
Lawrenceville, GA 30046
Phone: (678) 712-8583
Organisation at this address: Hc Roots Llc
Da Big Jus Wayyy
The Mind Spa Llc
Specme Eyewear Llc
Uneke Wellness Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 163WL0100X
163WL0100X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-01-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia