Childress, Gregory

Childress, Gregory is an individual health care provider with primary practice located at 1364 Westgate Center Dr , Winston Salem NC 27103-2932. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Childress, Gregory can be contacted via phone (336) 768-4140.

Contact Information

Primary practice address
1364 Westgate Center Dr Winston Salem NC 27103-2932
Fax: (336) 768-4487
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 683 North Carolina

Profile Details

NPI number 1952422958
LBN Legal business name Childress, Gregory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated May 22nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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