Provider Demographics
NPI:1962496521
Name:MAY, ALFRED THOMAS III (MD)
Entity Type:Individual
Prefix:
First Name:ALFRED
Middle Name:THOMAS
Last Name:MAY
Suffix:III
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 7200
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-0200
Mailing Address - Country:US
Mailing Address - Phone:252-937-0200
Mailing Address - Fax:252-451-0056
Practice Address - Street 1:100 DODD ST
Practice Address - Street 2:
Practice Address - City:SPRING HOPE
Practice Address - State:NC
Practice Address - Zip Code:27882-9348
Practice Address - Country:US
Practice Address - Phone:252-478-5412
Practice Address - Fax:252-937-3100
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC36768207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC58932OtherMEDCOST
NC55110OtherBCBSNC
NC7955110Medicaid
NC8295978OtherCIGNA HEALTHCARE
NC80062828OtherRAILROAD MEDICARE
NC2188276Medicare PIN
NCF16937Medicare UPIN