Individual
EDWARD A CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
08140
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000084753
BLUE CROSS
AL
05
—
000084753
—
AL
01
—
6438
HEALTHSPRING
AL
01
—
C73158
VIVA
AL
Enumeration date
06/12/2006
Last updated
05/10/2011
Update your record
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