Individual
CARY E CHILDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1086 BAXTER ST, ATHENS, GA 30606-6316
(706) 353-0606
Mailing address
1086 BAXTER ST, ATHENS, GA 30606-6316
(706) 353-0606
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN197871
GA
Other
Enumeration date
10/27/2012
Last updated
10/27/2012
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