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1194792549

NPI Code Detail

MEDICARE: GEORGE JOSEPH ALTER MD

MEDICARE: GEORGE JOSEPH ALTER 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	207W00000X	Ophthalmology Physician	34235	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	180021595	OTHER	SC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1325401005	OTHER	NC	CIGNA/HEALTHSOURCE
2	10488	OTHER	NC	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	0841447	OTHER	NC	UNITED HEALTHCARE
6	2209471	OTHER	NC	PHCS
7	259303	OTHER	NC	ONEHEALTH
8	376570	OTHER		MAMSI
9	545289	OTHER	NC	AETNA HMO
10	1949	OTHER	NC	DOCTORS HEALTH
11	4197360	OTHER	NC	AETNA PPO
12	6881	OTHER	NC	PARTNERS
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	10121	OTHER	NC	OPTICARE
15	20095437	OTHER	SC	SELECT HEALTH OF SC
16	51703	OTHER		MEDCOST
17	561896112015	OTHER		PRUDENTIAL
18	771256	OTHER	SC	WELLCARE

General Provider Information

NPI Number	:	1194792549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE JOSEPH ALTER MD

Provider Business Mailing Address
First Line	:	6035 FAIRVIEW RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-3256
Country	:	US
Telephone Number	:	704-295-3000
Fax Number	:	704-295-3468

Provider Business Practice Location Address
First Line	:	6035 FAIRVIEW RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-3256
Country	:	US
Telephone Number	:	704-295-3000
Fax Number	:	704-838-8494

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

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	05/03/2018

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Directions to “ GEORGE JOSEPH ALTER MD” Practice Location

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