Individual
KATHRYN L CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAAA
Contact information
Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414
(843) 402-1436
(843) 402-1833
Mailing address
PO BOX 603484, CHARLOTTE, NC 28260-3484
(803) 765-1838
(803) 765-1732
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
006603
GA
367H00000X
Anesthesiologist Assistant
Primary
86
SC
Other
Enumeration date
10/11/2012
Last updated
06/24/2024
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