Individual
BRIAN KEITH CHILDERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 DOCTORS DR, SUITE 104, DOUGLAS, GA 31533-2210
(912) 383-4352
(912) 384-1192
Mailing address
100 DOCTORS DR, SUITE 104, DOUGLAS, GA 31533-2210
(912) 383-4352
(912) 384-1192
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042212
GA
Other
Enumeration date
05/12/2006
Last updated
07/09/2007
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