Provider Demographics
NPI:1558311910
Name:FRENCH, WILFORD S III (MD)
Entity Type:Individual
Prefix:DR
First Name:WILFORD
Middle Name:S
Last Name:FRENCH
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 NORMANDIE DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36111-2732
Mailing Address - Country:US
Mailing Address - Phone:334-269-6337
Mailing Address - Fax:334-834-0657
Practice Address - Street 1:2055 NORMANDIE DR
Practice Address - Street 2:SUITE 108
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36111-2732
Practice Address - Country:US
Practice Address - Phone:334-288-4624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL250172085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009910336Medicaid
AL106714Medicaid
AL108501Medicaid
AL009910334Medicaid
AL009910621Medicaid
AL009910946Medicaid
AL106715Medicaid
AL009910337Medicaid
AL009910944Medicaid
AL009910947Medicaid
AL009910332Medicaid
AL009910333Medicaid
AL108121Medicaid
AL009910333Medicaid
AL051559312Medicare PIN
AL009910944Medicaid
AL106715Medicaid
AL108501Medicaid