Demetric Childs-hicks, CRNP | |
228 Selma Ave, Post Office Box 2213, Selma, AL 36701-5825 | |
(334) 874-7428 | |
(334) 874-7435 |
Full Name | Demetric Childs-hicks |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 228 Selma Ave, Selma, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396168985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 1-089829 (Alabama) | Primary |
Entity Name | Rural Health Medical Program, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437238151 PECOS PAC ID: 0143219196 Enrollment ID: O20040506001178 |
Mailing Address | Practice Location Address |
---|---|
Demetric Childs-hicks, CRNP 228 Selma Ave, P.o. Box 2213, Selma, AL 36701-5825 Ph: (334) 874-7428 | Demetric Childs-hicks, CRNP 228 Selma Ave, Post Office Box 2213, Selma, AL 36701-5825 Ph: (334) 874-7428 |
Jewels M Knight, FNP-C, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1475 Al Highway 14 E, Selma, AL 36703 Phone: 334-526-3240 Fax: 334-526-3241 | |
Kelly Butler, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1475 Al Highway 14 E, Selma, AL 36703 Phone: 334-526-3240 | |
Tacarla Shantese Pearson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1023 Medical Center Pkwy Ste 200, Selma, AL 36701 Phone: 334-875-4184 | |
Terry Dunson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1015 Medical Center Pkwy, Selma, AL 36701 Phone: 334-418-6646 Fax: 334-418-6647 | |
Tamarah Mason, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 203 Vaughan Memorial Dr, Selma, AL 36701 Phone: 334-375-8007 Fax: 334-526-1849 | |
Mrs. Monica Boswell Moore, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1015 Medical Center Parkway, Selma, AL 36701 Phone: 334-418-4150 Fax: 334-418-3592 | |
Geraldine Davis Turner, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4258 Us Highway 80 W, Selma, AL 36701 Phone: 334-874-8800 |