MR. HIRAM P. CHILDS PA-C
NPI 1902026651
Physician Assistant - Medical in Lawrenceville, GA
Active since April 26, 2007
631 PROFESSIONAL DR, SUITE 360, LAWRENCEVILLE, GA 30045(770) 962-4895(770) 962-4792 Get Directions Write a Review
About Mr. Hiram P. Childs Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. HIRAM P. CHILDS PA-C (NPI 1902026651) is an individual medical provider in Lawrenceville, Georgia and active in the NPI registry since April 2007.
NPPES Registry Identity
NPI1902026651
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. HIRAM P. CHILDSCredential: PA-C
Location Address631 PROFESSIONAL DR, SUITE 360Lawrenceville, GA 30045
Mailing Address631 Professional Dr, Suite 360Lawrenceville, GA 30046 · (770) 962-4895 · Fax (770) 962-4792
Phone(770) 962-4895
Fax(770) 962-4792
Sole ProprietorNo
Enumeration DateApril 26, 2007
Last NPPES UpdateFebruary 8, 2010
✔ NPI 1902026651 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
631 PROFESSIONAL DR, Lawrenceville, GA 30045
Other Identifiers 3
Medicare ID-Type Unspecified97WCFPZGA
Medicaid100001620CGA
Medicare UPINR55576GA
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902026651, enumerated as an "individual" on April 26, 2007.
The provider is located at 631 PROFESSIONAL DR SUITE 360 LAWRENCEVILLE, GA 30045 and the phone number is (770) 962-4895.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
