Provider Demographics
NPI:1356333827
Name:ALFORD, PETER T (MD)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:T
Last Name:ALFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3246 6TH AVE SE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-8335
Mailing Address - Country:US
Mailing Address - Phone:828-326-2660
Mailing Address - Fax:828-326-2671
Practice Address - Street 1:3246 6TH AVE SE
Practice Address - Street 2:SUITE 200
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-8335
Practice Address - Country:US
Practice Address - Phone:828-326-2660
Practice Address - Fax:828-326-2671
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC26792207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7910470Medicaid
NC7910470Medicaid
NCC81703Medicare UPIN
290009594Medicare PIN