Provider Demographics
NPI:1194792549
Name:ALTER, GEORGE JOSEPH (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:JOSEPH
Last Name:ALTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6035 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3256
Mailing Address - Country:US
Mailing Address - Phone:704-295-3000
Mailing Address - Fax:704-295-3468
Practice Address - Street 1:6035 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3256
Practice Address - Country:US
Practice Address - Phone:704-295-3000
Practice Address - Fax:704-838-8494
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC34235207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1325401005OtherCIGNA/HEALTHSOURCE
NC10488OtherBCBS
SC180021595OtherRAILROAD MEDICARE
SCN34235Medicaid
NC0841447OtherUNITED HEALTHCARE
NC2209471OtherPHCS
NC259303OtherONEHEALTH
376570OtherMAMSI
NC545289OtherAETNA HMO
NC1949OtherDOCTORS HEALTH
NC4197360OtherAETNA PPO
NC6881OtherPARTNERS
NC8910488Medicaid
NC10121OtherOPTICARE
SC20095437OtherSELECT HEALTH OF SC
51703OtherMEDCOST
561896112015OtherPRUDENTIAL
SC771256OtherWELLCARE
NC259303OtherONEHEALTH
SC20095437OtherSELECT HEALTH OF SC
NC2209471OtherPHCS