Individual
STUART PRESTON CHILDRESS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 CAMPUS BLVD STE 201, WINCHESTER, VA 22601-2872
(540) 536-5980
(540) 536-5979
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2896
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101020531
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006071171
—
VA
05
—
0083135000
—
WV
01
—
110020497
RAILROAD MEDICARE
—
Enumeration date
05/02/2006
Last updated
05/28/2021
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