Provider Demographics
NPI:1679672281
Name:CHILDS, BETH WEISSBERGER (MD)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:WEISSBERGER
Last Name:CHILDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:804 SCOTT NIXON MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30907-2464
Mailing Address - Country:US
Mailing Address - Phone:800-394-4445
Mailing Address - Fax:
Practice Address - Street 1:2730 UNIVERSITY BLVD W STE 104
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902-1979
Practice Address - Country:US
Practice Address - Phone:301-942-8799
Practice Address - Fax:301-933-8554
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0064404207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology