Provider Demographics
NPI:1588616551
Name:HEDDEN, WILLIAM JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JAMES
Last Name:HEDDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:140 VILLAGE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-6410
Mailing Address - Country:US
Mailing Address - Phone:205-980-1744
Mailing Address - Fax:205-980-1334
Practice Address - Street 1:140 VILLAGE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-6410
Practice Address - Country:US
Practice Address - Phone:205-980-1744
Practice Address - Fax:205-980-1334
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL00022594208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
G90504Medicare UPIN
AL041552847HEDMedicare ID - Type Unspecified