Individual
DR. SIENA SHIELDS ALFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1210 MAIN ST, CONWAY, SC 29526-3633
(843) 488-4300
(843) 488-4301
Mailing address
1210 MAIN ST, CONWAY, SC 29526-3633
(843) 488-4300
(843) 488-4301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0285
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42D0940858
CLIA LABRATORY NUMBER
SC
05
—
TL0665
—
SC
Enumeration date
05/20/2006
Last updated
07/08/2010
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