Provider Demographics
NPI:1730293366
Name:CHILDS, WILLIAM HAYDEN (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:HAYDEN
Last Name:CHILDS
Suffix:
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 1:98 E MORRIS ST
Mailing Address - Street 2:
Mailing Address - City:SAMSON
Mailing Address - State:AL
Mailing Address - Zip Code:36477-1229
Mailing Address - Country:US
Mailing Address - Phone:334-898-2728
Mailing Address - Fax:334-898-2774
Practice Address - Street 1:98 E MORRIS ST
Practice Address - Street 2:
Practice Address - City:SAMSON
Practice Address - State:AL
Practice Address - Zip Code:36477-1229
Practice Address - Country:US
Practice Address - Phone:334-898-2728
Practice Address - Fax:334-898-2774
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6999207R00000X, 207RP1001X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALP00093847OtherRAILROAD MEDICARE
AL4006483OtherAETNA
AL611228500OtherOWCP
AL5681714OtherFIRST HEALTH NETWORK
AL051520815Medicaid
AL200783489OtherTRICARE
AL51520815OtherBLUE CROSS
AL0401118OtherUNITED HEALTHCARE
AL9419310OtherPCHS
AL9419310OtherPCHS
AL51520815OtherBLUE CROSS
AL9419310OtherPCHS