STACEY LYNN CHILDRESS

CHARLESTON, SC
NPI1083018030
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: SC  23153)
Enumeration Date2014-10-20
Last Update Date2022-05-31
Business Address
STACEY LYNN CHILDRESS AGPCNP
316 CALHOUN ST
CHARLESTON, SC 29401-1113
Phone number: 843-724-2450
Mailing Address
STACEY LYNN CHILDRESS AGPCNP
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 843-789-1620
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