Clarence G. Childress in Glen Allen - Pediatrics
Clarence G. Childress - NPI 1902996549
Clarence G. Childress is a Pediatrics in Glen Allen, Virginia. Clarence G. Childress practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Clarence G. Childress is 1902996549. The last update date is 2012-07-11.
Clarence G. Childress's current location address is 10150 Staples Mill Rd, Glen Allen, Virginia. You can contact this provider via phone number 8047557581 and fax number 8047557586. The mailing address for Clarence G. Childress is 10150 Staples Mill Rd, Glen Allen, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clarence G. Childress |
|---|---|
| Address | 10150 Staples Mill Rd, Glen Allen, Virginia |
| Phone Number | 8047557581 |
| Fax Number | 8047557586 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1902996549 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2012-07-11 |
Provider Mailing Address Detail
| Address | 10150 Staples Mill Rd |
|---|---|
| City | Glen Allen |
| State | Virginia (VA) |
| Post Code | 230603452 |
| Phone Number | 8047557581 |
| Fax Number | 8047557586 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 101056147 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10012759 | VA | -- | |
| C06115 | VA | GROUP PTAN |
Post Comment/ Review Below
What is the unique identification code assigned to Clarence G. Childress by the Centers for Medicare & Medicaid Services?
The Clarence G. Childress has been issued the NPI (National Provider Identifier) 1902996549. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Clarence G. Childress is physically located?
The Clarence G. Childress is physically situated at the following address: 10150 Staples Mill Rd, Glen Allen, VA, 230603452.
What is the Clarence G. Childress's area of specialization and corresponding taxonomy classification?
The Clarence G. Childress's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1902996549 to Clarence G. Childress?
The Centers for Medicare & Medicaid Services assigned the 1902996549 to Clarence G. Childress on 2006-10-13.
As of what date were the Clarence G. Childress's details last updated?
The information pertaining to the Clarence G. Childress, including its address, specialty, and other details, was most recently updated on 2012-07-11.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC