Provider Demographics
NPI:1376335570
Name:TOWNSEND, DELBERT ALEXANDER
Entity type:Individual
Prefix:
First Name:DELBERT
Middle Name:ALEXANDER
Last Name:TOWNSEND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7208 FOREST POINT BLVD APT 4404
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217-0463
Mailing Address - Country:US
Mailing Address - Phone:704-962-5290
Mailing Address - Fax:
Practice Address - Street 1:1427 SOUTH BLVD STE 1061427
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-4218
Practice Address - Country:US
Practice Address - Phone:704-962-5290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist