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Nicholas Child
NPI 1558885814 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1251 S 1st St
Jesup, GA 31545 - Phone
- (912) 559-2071
- Clinicians at this address
- 2
Additional practice sites
- 865 S 1st St, Jesup, GA
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia