Individual
MS. TABITHA ANN CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2045 PEACHTREE RD NE, ATLANTA, GA 30309-1414
(404) 795-5980
Mailing address
2360 COLLIER DR, DECATUR, GA 30032-5410
(404) 861-5006
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN175483
GA
Other
Enumeration date
01/18/2012
Last updated
12/14/2021
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