Childress, David Ryan

Childress, David Ryan is an individual health care provider with primary practice located at 711 Cook Dr Suite 100, Athens TN 37303-3486. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Childress, David Ryan can be contacted via phone (423) 744-7585.

Contact Information

Primary practice address
711 Cook Dr Suite 100 Athens TN 37303-3486
Phone: (423) 744-7585
Fax: (423) 744-7075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38958 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 38958 Tennessee

Profile Details

NPI number 1205882834
LBN Legal business name Childress, David Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Dec 28th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205882834 NPPES
Tennessee Other P00232041 RAILROAD MEDICARE
Tennessee MEDICAID 3898327 RAILROAD MEDICARE
Tennessee Other 4093024 RAILROAD MEDICARE
Tennessee Other 4117405 RAILROAD MEDICARE
Tennessee MEDICAID 3898325 RAILROAD MEDICARE
Tennessee Other 4088721 RAILROAD MEDICARE

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