| Doctor Name: | DR. GLEN ERNEST ALFORD |
| NPI Number: | 1558463489 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | |
| Business Practice Address: | 1016 Fletcher St Wilkesboro, NC - 286979472 |
| Business Phone Number: | 3366678228 |
| Business Fax Number: | 3366672899 |
| Mailing Address: | Po Box 239, 146 Hollowview Dr WILKESBORO |
| State: | NC |
| Postal Code: | 286970239 |
| Phone Number: | 3366678228 |
| Fax Number: | 3366672899 |
| NPI Enumeration Date: | 09/01/2006 |
| NPI Last Update Date: | 10/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |