Christian Alfonso
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Orangeburg, SC
NPI 1336832161 · NPPES record last updated May 29, 2023
Key facts
- NPI
- 1336832161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 3000 Saint Matthews Rd
Orangeburg, SC 29118-1442 - Phone
- (803) 395-2200
- NPI assigned
- May 29, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Mailing address
19 Magnolia Glen LN
Columbia, SC 29205-4278
Phone (305) 962-3646
Other providers in Orangeburg, SC
- Affordable Dentures & Implants - Orangeburg IV, P.C.
- Affordable Dentures & Implants - Orangeburg, P.C.
- David Ajibade
- Idowu Afolarin Ajose
- Alberto J. Gonzalez MD
- Denise Algood
- Mohammed I Alhatou
- Alikat Transport LLC
- All Your Needs Home Care Services, LLC
- Angelea K Allen
All providers in Orangeburg, SC · Student in an Organized Health Care Education/Training Program in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.