Jacqueline Childress's National Provider Identifier (NPI) Details
Jacqueline Childress, ME.d., LAPC
NPI: 1205253630
Enumeration Date: 2014-03-24
Last updated: 2016-08-25
Sole Proprietor: YES
Status: active
Postal Address: 3100 CREPE MYRTLE CT APT B, ALBANY, GA
Phone: 229-809-2674
Primary Practice Address: 3100 CREPE MYRTLE CT APT B, ALBANY, GA
Practice's phone: 229-809-2674