Individual
JETH CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 LEESBURG PLANTATION DR, SHARPSBURG, GA 30277-3006
(404) 392-3155
Mailing address
30 LEESBURG PLANTATION DR, SHARPSBURG, GA 30277-3006
(404) 392-3155
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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