Individual
ALTAF AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
805 PAMPLICO HWY, FLORENCE, SC 29505-6047
(843) 674-2500
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2002-0482
NM
208100000X
Physical Medicine & Rehabilitation Physician
Primary
83038
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043342357
TRICARE
NM
05
—
14529041
—
NM
01
—
NM009E41
BC/BS OF NM
NM
01
—
P00029143
RR MEDICARE
NM
Enumeration date
11/07/2005
Last updated
12/22/2021
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