IndividualActive
Alice Pham, MD
NPI 1053015164 · Pediatrics Physician · Winston Salem, NC
Provider details
- NPI number
- 1053015164
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- RTL23-0405 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1 Medical Center Blvd
Winston Salem, NC 27157-0001
Phone: (336) 716-2694
Approximate (ZIP-level) locationGet directions
Mailing address
169 Ashley Ave
Charleston, SC 29425-8905
Registry dates
- Enumerated
- 2023-03-30
- Last updated
- 2026-04-17
- Certified
- 2026-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.