Healthcare Provider Details

I. General information

NPI: 1497124457
Provider Name (Legal Business Name): MR. LINWOOD LAMONT ALFORD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2015
Last Update Date: 09/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 WINDOMERE AVE
RICHMOND VA
23227-2956
US

IV. Provider business mailing address

705 WINDOMERE AVE
RICHMOND VA
23227-2956
US

V. Phone/Fax

Practice location:
  • Phone: 678-520-1031
  • Fax: 804-658-2793
Mailing address:
  • Phone: 678-520-1031
  • Fax: 804-658-2793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: