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1073217923
NICHOLAS CHILDERS
JACKSON, MS
NPI
1073217923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MS T-5065)
Enumeration Date
2023-03-27
Last Update Date
2023-07-03
Business Address
Dr. NICHOLAS CHILDERS MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
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Mailing Address
Dr. NICHOLAS CHILDERS MD
138 N LAKESIDE CT
RICHLAND, MS 39218-9793
Phone number: 601-813-6827
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