Individual
ALLIE KIERSTEN CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 TIMMS RD NE, CALHOUN, GA 30701-7016
(706) 625-0022
(706) 625-8586
Mailing address
400 TIMMS RD NE, CALHOUN, GA 30701-7016
(706) 625-0022
(706) 625-8586
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12407
GA
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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