Individual
DR. JENNIFER GILMORE CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DBH, LAT, ATC
Contact information
Practice address
323 PAUL BRYANT DRIVE, TUSCALOOSA, AL 35487-0323
(205) 310-9553
Mailing address
323 PAUL BRYANT DRIVE, TUSCALOOSA, AL 35487-0323
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
221
AL
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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