Individual
MICAH CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3688 VETERAN MEMORIAL DRIVE, HATTIESBURG, MS 39402-3940
(601) 554-7400
Mailing address
3688 VETERANS MEMORIAL DR, HATTIESBURG, MS 39401-8246
(601) 500-7400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
04/05/2021
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