Individual
GENOLA CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD/MPH
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7910
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101231224
VA
Other
Enumeration date
01/28/2006
Last updated
04/23/2010
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