Individual
DONNA CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 DALE EARNHARDT BLVD, SUITE 200, KANNAPOLIS, NC 28081-0308
(704) 932-1155
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200300953
NC
Other
Enumeration date
12/15/2005
Last updated
10/04/2019
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