Provider Demographics
NPI:1285798538
Name:TROTTER, ALFRED D (MD)
Entity type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:D
Last Name:TROTTER
Suffix:
Gender:
Credentials:MD
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Mailing Address - Street 1:55 ROWE DR.
Mailing Address - Street 2:SUITE D
Mailing Address - City:GUNTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35976
Mailing Address - Country:US
Mailing Address - Phone:256-753-8590
Mailing Address - Fax:256-753-8595
Practice Address - Street 1:55 ROWE DR.
Practice Address - Street 2:SUITE D
Practice Address - City:GUNTERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35976
Practice Address - Country:US
Practice Address - Phone:256-753-8590
Practice Address - Fax:256-753-8595
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2025-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL00017854207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC46689Medicare UPIN