Provider Demographics
NPI:1710049689
Name:HEATON, WILLIAM H (MD)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:H
Last Name:HEATON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:201 E DR HICKS BLVD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-5767
Mailing Address - Country:US
Mailing Address - Phone:256-766-8570
Mailing Address - Fax:256-766-5183
Practice Address - Street 1:201 E DR HICKS BLVD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-5767
Practice Address - Country:US
Practice Address - Phone:256-766-8570
Practice Address - Fax:256-766-5183
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL8244207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00116093Medicaid
AL000003685Medicaid
AL051003685OtherBCBS
AL51590952OtherBCBS
AL51591410OtherBCBS
TN10332OtherBCBS TN
2510126OtherUNITED HEALTHCARE
AL51590951OtherBCBS
TN4170606Medicaid
060037831OtherPALMETTO GBA RR MEDICARE
20395OtherHEALTHSPRING OF AL
AL51040314OtherBCBS
AL51590953OtherBCBS
AL51590953OtherBCBS
ALC71694Medicare UPIN