MEDICARE: DR. ANTONIA B AHERN M.D.

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	207R00000X	Internal Medicine Physician	P25271	MD
2	2084N0400X	Neurology Physician	MD042156	DC
3	2084N0400X	Neurology Physician	2015-00792	NC

General Provider Information

NPI Number	:	1295053742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTONIA B AHERN M.D.

Provider Business Mailing Address
First Line	:	3515 W MARKET ST STE 210
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27403-4442
Country	:	US
Telephone Number	:	336-660-5460
Fax Number	:

Provider Business Practice Location Address
First Line	:	3515 W MARKET ST STE 210
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27403-4442
Country	:	US
Telephone Number	:	336-273-2511
Fax Number	:

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

Provider Enumeration Date	:	05/07/2010
Last Update Date	:	01/13/2026

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