Individual
MRS. MITZI M CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8552 MORPHY AVE, FAIRHOPE, AL 36532-3696
(251) 928-4113
(251) 928-7177
Mailing address
PO BOX 1134, FAIRHOPE, AL 36533-1134
(251) 928-4113
(251) 928-7177
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9883
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15906
BCBS
AL
Enumeration date
11/21/2006
Last updated
07/08/2007
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