Individual
DR. DAVID DIXON CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON-SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2006-00468
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145H6
BCBS
NC
05
—
1629148416
—
VA
01
—
199204
MEDCOST
NC
05
—
3810009078
—
WV
05
—
5906640
—
NC
01
—
810502
PARTNERS
NC
01
—
9731064
AETNA
NC
05
—
Q0046I
—
SC
Enumeration date
11/08/2006
Last updated
04/22/2008
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