Individual
WILLIE L GILFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1806 SIXTH AVENUE SOUTH, BIRMINGHAM, AL 35249-0001
(205) 975-7389
(205) 975-4662
Mailing address
PO BOX 11407, DRAWER 624, BIRMINGHAM, AL 35246-0624
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
23317
AL
207P00000X
Emergency Medicine Physician
Primary
MD.23317
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009938590
—
AL
05
—
051559731
—
AL
01
—
1578545810
TRICARE SOUTH
AL
01
—
510-99064
BCBS
AL
01
—
515-41984
BCBS
AL
Enumeration date
11/14/2005
Last updated
06/29/2023
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