Individual
ANSHA CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 SOUTHERN DR, STATESBORO, GA 30460-1360
(678) 699-4181
Mailing address
1332 SOUTHERN DR, STATESBORO, GA 30460-1360
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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