Individual
EDWARD A CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
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
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