Childs, Hiram P.
Childs, Hiram P. is an individual health care provider with primary practice located at 631 Professional Dr Suite 360, Lawrenceville GA 30045. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Childs, Hiram P. can be contacted via phone (770) 962-4895.Contact Information
Primary practice address
631 Professional Dr Suite 360
Lawrenceville GA 30045
Phone: (770) 962-4895
Fax: (770) 962-4792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1902026651 |
|---|---|
| LBN Legal business name | Childs, Hiram P. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2007 |
| Last updated | Feb 8th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902026651 | NPPES |
| Georgia | MEDICAID | 100001620C |
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