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Individual
NICKLAUS BRIAN CHILDERS
Active
Individual
NICKLAUS BRIAN CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
1-116752
AL
163WR0006X
Registered Nurse First Assistant
RN176292
GA
363LF0000X
Family Nurse Practitioner
1-116752
AL
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP176292
GA
Other
Enumeration date
06/16/2010
Last updated
10/28/2025
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