Individual
ALLYSON DUPAY CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1840 M.L.K. JR BLVD, CHAPEL HILL, NC 27514-9444
(984) 272-2422
Mailing address
2420 LANDMARK DRIVE APT 215, RALEIGH, NC 27607
(704) 909-1126
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12210
NC
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-12210
MEDICAL LICENSE
NC
Enumeration date
10/07/2020
Last updated
04/04/2025
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