Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 20015 | AL |
Y | 111NI0900X | Internist | 20015 | AL |
N | 207RH0002X | Hospice and Palliative Medicine | 20015 | AL |
NPI | 1386699627 |
---|---|
Provider Name | Larry Douglas Alford JR. |
First Address | Birmingham, AL 35283-0230 |
Second Address | Birmingham, AL 35209-6808 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 05/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000033883 | (05) | AL |
G33732 | (02) | AL |