Provider Demographics
NPI:1740248780
Name:ALFORD, HAMPTON S JR (MD)
Entity type:Individual
Prefix:MR
First Name:HAMPTON
Middle Name:S
Last Name:ALFORD
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 6069
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29171-6069
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:131 SUNSET CT
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-2429
Practice Address - Country:US
Practice Address - Phone:803-796-2222
Practice Address - Fax:803-796-7839
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC14139207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC141395Medicaid
SCS309350OtherHEALTH SOURCE
SC110180891OtherRAIL ROAD MEDICARE
SC58059OtherMEDCOST
SC141395Medicaid
SC110180891OtherRAIL ROAD MEDICARE