Childs, Ed W.
Childs, Ed W. is an individual health care provider with primary practice located at 80 Jesse Hill Jr Dr Se , Atlanta GA 30303-3031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Childs, Ed W. can be contacted via phone (404) 616-7578.Contact Information
Primary practice address
80 Jesse Hill Jr Dr Se
Atlanta GA 30303-3031
Phone: (404) 616-7578
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | H7963 | Texas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 067203 | Georgia |
Profile Details
| NPI number | 1144280116 |
|---|---|
| LBN Legal business name | Childs, Ed W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jun 8th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144280116 | NPPES |
| Texas | MEDICAID | 0457251-01 | |
| Texas | MEDICAID | 003121550B | |
| Texas | Other | 020048105 | |
| Texas | Other | 8A6942 | |
| Texas | Other | 0457251-02 |
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