Individual
MR. JOHN SHERMAN CHILDERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 NASHVILLE HWY, LEWISBURG, TN 37091-2948
(931) 359-5802
Mailing address
1601 NASHVILLE HWY, LEWISBURG, TN 37091-2948
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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