Individual
ERICA CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
362 MERIDIAN PARKE LN, GREENWOOD, IN 46142-9425
(317) 859-3737
(317) 859-3730
Mailing address
PO BOX 664056, INDIANAPOLIS, IN 46266-4056
(317) 859-3737
(317) 859-3730
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001187A
IN
Other
Enumeration date
06/24/2010
Last updated
03/24/2021
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