Individual
MR. GREGORY WAYNE ALFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QP
Contact information
Practice address
610 STATE STREET EXT, BENNETTSVILLE, SC 29512
(843) 479-6645
Mailing address
610 STATE STREET EXT, BENNETTSVILLE, SC 29512
(843) 479-6645
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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