# DR. ANGIE JEAN CHILDERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750391116
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 200600714 | NC | — |
| 207Q00000X | Family Medicine Physician | MD0000039560 | TN | Yes |
| 207VX0000X | Obstetrics Physician | 200600714 | NC | — |
| 207VX0000X | Obstetrics Physician | MD0000039560 | TN | — |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 01/22/2025