Individual
DR. GLEN ERNEST ALFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1016 FLETCHER ST, WILKESBORO, NC 28697-9472
(336) 667-8228
(336) 667-2899
Mailing address
PO BOX 239, 146 HOLLOWVIEW DR, WILKESBORO, NC 28697-0239
(336) 667-8228
(336) 667-2899
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2329295
MEDICARE GROUP
NC
05
—
5905020
—
NC
Enumeration date
09/01/2006
Last updated
10/25/2007
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