Individual
MRS. RENE B CHILDREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN RN CS FNP
Contact information
Practice address
128 NORTH PARKER AVE, BROOKLET, GA 30415
(912) 842-2101
(912) 842-2103
Mailing address
PO BOX 487, BROOKLET, GA 30415
(912) 842-2101
(912) 842-2103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN043261 NP
GA
363L00000X
Nurse Practitioner
Primary
RN043261
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00510518A
—
GA
Enumeration date
06/29/2006
Last updated
06/02/2008
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