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NPI Code Detail

MEDICARE: BRITTANY RASHEL CHILDS

MEDICARE: BRITTANY RASHEL CHILDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1689494270
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY RASHEL CHILDS
Provider Business Mailing Address
First Line : 914 N VINITA AVE
Second Line :
City : TAHLEQUAH
State : OK
Zip : 74464-6805
Country : US
Telephone Number : 918-525-2706
Fax Number :
Provider Business Practice Location Address
First Line : 113 W KEETOOWAH ST
Second Line :
City : TAHLEQUAH
State : OK
Zip : 74464-3819
Country : US
Telephone Number : 918-931-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2024
Last Update Date : 10/16/2024

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Directions to “ BRITTANY RASHEL CHILDS ” Practice Location

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