Individual
JAMES MICHAEL CHILDRESS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2216 PRINCESS ANNE ST, FREDERICKSBURG, VA 22401-3300
(540) 371-5700
(540) 373-1228
Mailing address
2216 PRINCESS ANNE ST, FREDERICKSBURG, VA 22401-3300
(540) 371-5700
(540) 373-1228
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101032062
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6763511
—
VA
Enumeration date
10/26/2005
Last updated
07/08/2007
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