Individual
JANET L CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4 HOSPITAL PLZ, CLARKSBURG, WV 26301-9327
(304) 624-1966
(304) 293-6963
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
00514
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00387347
RAILROAD MEDICARE
WV
Enumeration date
09/22/2006
Last updated
11/21/2007
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