MEDICARE: ANTHONY JOSEPH ALFANO DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	100438	GA

General Provider Information

NPI Number	:	1073945796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY JOSEPH ALFANO DO

Provider Business Mailing Address
First Line	:	4450 CALIBRE XING NW STE 1224
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-4104
Country	:	US
Telephone Number	:	770-974-6550
Fax Number	:	770-974-6551

Provider Business Practice Location Address
First Line	:	4450 CALIBRE XING NW STE 1224
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-4104
Country	:	US
Telephone Number	:	770-974-6550
Fax Number	:	770-974-6551

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2013
Last Update Date	:	02/21/2026

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