Alford, Diana Dubois

Alford, Diana Dubois is an individual health care provider with primary practice located at 602 N Main St , Summerville SC 29483-6627. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Alford, Diana Dubois can be contacted via phone (843) 876-2121.

Contact Information

Primary practice address
602 N Main St Summerville SC 29483-6627
Phone: (843) 876-2121
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 996 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 996 South Carolina

Profile Details

NPI number 1588663082
LBN Legal business name Alford, Diana Dubois
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated May 11th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588663082 NPPES
South Carolina Other P00851397 RR MEDICARE PTAN
South Carolina MEDICAID 0315PA RR MEDICARE PTAN
South Carolina Other GP4999 RR MEDICARE PTAN

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