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Donna Childress, MD

Internal Medicine in Kannapolis, NC. Individual provider (NPI-1).

NPI number1477539005
StatusActive
Last updated in NPPESOct 4, 2019

Details

NPI
1477539005
Entity type
Individual (NPI-1)
Name
Donna Childress
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Dec 15, 2005
Last updated
Oct 4, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine200300953NCYes

Practice location

201 Dale Earnhardt Blvd
Suite 200
Kannapolis, NC 28081-0308

Phone 704-932-1155

Mailing address

Po Box 19305
Charlotte, NC 28219-9305

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