Healthcare Provider Details

I. General information

NPI: 1669899563
Provider Name (Legal Business Name): ALFORD LEON DYER III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2014
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 N LYERLY ST STE 100
CHATTANOOGA TN
37404-2747
US

IV. Provider business mailing address

PO BOX 306647
NASHVILLE TN
37230-6647
US

V. Phone/Fax

Practice location:
  • Phone: 423-698-2229
  • Fax: 423-495-2760
Mailing address:
  • Phone: 423-698-2229
  • Fax: 423-495-2760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number078618
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: