Individual
DAVID RYAN CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 COOK DR, SUITE 100, ATHENS, TN 37303-3486
(423) 744-7585
(423) 744-7075
Mailing address
711 COOK DR, SUITE 100, ATHENS, TN 37303-3486
(423) 744-7585
(423) 744-7075
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
38958
TN
207Q00000X
Family Medicine Physician
38958
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3898325
—
TN
05
—
3898327
—
TN
01
—
4088721
BCBS
TN
01
—
4093024
BCBS OF TENNESSEE
TN
01
—
4117405
BCBS
TN
01
—
P00232041
RAILROAD MEDICARE
TN
Enumeration date
05/25/2006
Last updated
12/28/2023
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