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Individual
DAVID RYAN CHILDRESS
Active
Individual
DAVID RYAN CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
38958
TN
207Q00000X
Family Medicine Physician
38958
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3898325
—
TN
05
—
3898327
—
TN
01
—
4088721
BCBS
TN
01
—
4093024
BCBS OF TENNESSEE
TN
01
—
4117405
BCBS
TN
01
—
P00232041
RAILROAD MEDICARE
TN
Enumeration date
05/25/2006
Last updated
12/28/2023
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