Provider Demographics
NPI:1386824332
Name:ALFORD, STEPHANIE H (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:H
Last Name:ALFORD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:16000 JOHNSTON MEMORIAL DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24211-7664
Mailing Address - Country:US
Mailing Address - Phone:276-258-1760
Mailing Address - Fax:276-258-1765
Practice Address - Street 1:16000 JOHNSTON MEMORIAL DR
Practice Address - Street 2:SUITE 100
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24211-7664
Practice Address - Country:US
Practice Address - Phone:276-258-1760
Practice Address - Fax:276-258-1765
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2022-05-25
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Provider Licenses
StateLicense IDTaxonomies
VA0101244233207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1386824332Medicaid
TNQ003730Medicaid
VA1386824332Medicaid
VAVVA701AMedicare PIN