Provider Demographics
NPI:1801848387
Name:HAND, ALFRED PARKHILL (MD)
Entity Type:Individual
Prefix:
First Name:ALFRED
Middle Name:PARKHILL
Last Name:HAND
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:PO BOX 13220
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31416-0220
Mailing Address - Country:US
Mailing Address - Phone:912-355-8188
Mailing Address - Fax:912-356-6970
Practice Address - Street 1:1703 MEADOWS LN
Practice Address - Street 2:
Practice Address - City:VIDALIA
Practice Address - State:GA
Practice Address - Zip Code:30474-8915
Practice Address - Country:US
Practice Address - Phone:912-537-8921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0524522085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD223309600Medicaid
GA164007407EMedicaid
SCG52452Medicaid
SCP00971805OtherRXR MCR
FLP00971383OtherRXR MEDICARE
GA164007407NMedicaid
GA164007407OMedicaid
FL002000901Medicaid
GA52173000-009OtherBCBS
CAFC895YMedicare PIN
CAFC895ZMedicare PIN
GA164007407OMedicaid
GAI47098Medicare UPIN
FLDE431SMedicare PIN
GA164007407NMedicaid
SCG52452Medicaid
GA30BDNMJMedicare Oscar/Certification