Individual
DR. AUSTIN ALEXANDER CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3634 REYNOLDA RD, WINSTON SALEM, NC 27106-2230
(336) 923-2367
(336) 923-2807
Mailing address
3634 REYNOLDA RD, WINSTON SALEM, NC 27106-2230
(336) 923-2367
(336) 923-2807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29486
NC
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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