MEDICARE: TERRI DANIELLE ALFORD MD

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	48853	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P01152790	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4342210	OTHER	TN	BCBS

General Provider Information

NPI Number	:	1134355217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRI DANIELLE ALFORD MD

Provider Business Mailing Address
First Line	:	PO BOX 1000
Second Line	:	DEPT # 978
City	:	MEMPHIS
State	:	TN
Zip	:	38148-0001
Country	:	US
Telephone Number	:	901-756-1231
Fax Number	:	901-755-1590

Provider Business Practice Location Address
First Line	:	7550 WOLF RIVER BLVD STE 102
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38138-1779
Country	:	US
Telephone Number	:	901-767-5000
Fax Number	:	901-767-6000

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

Provider Enumeration Date	:	06/03/2009
Last Update Date	:	12/11/2025

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