Individual
MR. JAMES CLAYTON CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP-AC
Contact information
Practice address
1700 6TH AVE S, BIRMINGHAM, AL 35233-1802
(205) 638-9175
Mailing address
1700 6TH AVE S, BIRMINGHAM, AL 35233-1802
(205) 638-9175
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
1-104433
AL
Other
Enumeration date
12/03/2012
Last updated
12/18/2019
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