Individual provider · NPI-1
Amber Jones Childers, DO
Family Medicine · Due West, SC
NPI number1285059303
StatusActive
Last updated in NPPESSep 5, 2017
Details
- NPI
- 1285059303
- Entity type
- Individual (NPI-1)
- Name
- Amber Jones Childers
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2014
- Last updated
- Sep 5, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 36704 | SC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
6 College St # 638Due West, SC 29639-9554
Phone 864-379-2345
Mailing address
6 College St #638Due West, SC 29639-9554
Phone 864-379-2345
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.