Individual
LACEY HESTER CHILDREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
39 KENT RD STE 2, TIFTON, GA 31794-1697
(229) 353-4368
Mailing address
47 LOGANBERRY CIR, VALDOSTA, GA 31602-2303
(229) 237-8709
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP291799
GA
Other
Enumeration date
07/10/2025
Last updated
09/23/2025
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