Provider Demographics
NPI:1194934596
Name:ALFORD, ALISON ELEANOR (MD)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:ELEANOR
Last Name:ALFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2819 N PARHAM RD STE 290
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4425
Mailing Address - Country:US
Mailing Address - Phone:804-658-5385
Mailing Address - Fax:804-658-5507
Practice Address - Street 1:2819 N PARHAM RD STE 290
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4425
Practice Address - Country:US
Practice Address - Phone:804-658-5385
Practice Address - Fax:804-658-5507
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012471872080P0008X, 2084N0402X
VA0116017766390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental Disabilities
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06778OtherGROUP PTAN