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Individual

MRS. DONNA FAYE CHILDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
420 E 2ND AVE, SUITE 103, ROME, GA 30161-3224
(706) 509-3000
(706) 509-3271
Mailing address
420 E 2ND AVE, SUITE 103, ROME, GA 30161-3224
(706) 509-3000
(706) 509-3271

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN097177
GA

Other

Enumeration date
06/10/2006
Last updated
05/26/2021
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