JAMES CLARK CHILDRESS

SPARTA, TN
NPI1316509334
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: TN  26091)
Enumeration Date2019-06-29
Last Update Date2019-06-29
Business Address
JAMES CLARK CHILDRESS
457 VISTA DR
SPARTA, TN 38583-1360
Phone number: 931-738-3383
Mailing Address
JAMES CLARK CHILDRESS
1609 FARMINGTON DR
COOKEVILLE, TN 38501-0743
Phone number: 931-644-2463
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