Individual
NICHOLAS RODNEY CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9602 MAHAFFEY DR, WARRIOR, AL 35180-2051
(205) 757-7807
Mailing address
9602 MAHAFFEY DR, WARRIOR, AL 35180-2051
(205) 757-7807
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S10724
AL
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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