Individual
DR. ALFRED DOUGLAS EARWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 PARK AVE, BANNER ELK, NC 28604-6604
(828) 898-5177
(828) 898-8306
Mailing address
PO BOX 1568, BANNER ELK, NC 28604-1568
(828) 898-5177
(828) 898-8306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33815
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110094760
NC RAILROAD MEDICARE
NC
01
—
178522
TN BLUECROSS & TENNCARE
TN
01
—
29876
NC BLUECROSSBLUESHIELD
NC
05
—
4406013
—
TN
05
—
8929876
—
NC
Enumeration date
09/13/2005
Last updated
06/07/2011
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