Basic Information
| Provider Information | |||||||||
| NPI: | 1801848387 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAND | ||||||||
| FirstName: | ALFRED | ||||||||
| MiddleName: | PARKHILL | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 13220 | ||||||||
| Address2: | |||||||||
| City: | SAVANNAH | ||||||||
| State: | GA | ||||||||
| PostalCode: | 314160220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9123558188 | ||||||||
| FaxNumber: | 9123566970 | ||||||||
| Practice Location | |||||||||
| Address1: | 1703 MEADOWS LN | ||||||||
| Address2: | |||||||||
| City: | VIDALIA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 304748915 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9125378921 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2006 | ||||||||
| LastUpdateDate: | 02/15/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | 052452 | GA | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | 223309600 | 05 | MD | MEDICAID | 164007407E | 05 | GA | MEDICAID | G52452 | 05 | SC | MEDICAID | P00971805 | 01 | SC | RXR MCR | OTHER | P00971383 | 01 | FL | RXR MEDICARE | OTHER | 164007407N | 05 | GA | MEDICAID | 164007407O | 05 | GA | MEDICAID | 002000901 | 05 | FL | MEDICAID | 52173000-009 | 01 | GA | BCBS | OTHER |