Provider Demographics
NPI:1710796883
Name:ALDERMAN, SYLVESTER JUNIOR
Entity type:Individual
Prefix:MR
First Name:SYLVESTER
Middle Name:JUNIOR
Last Name:ALDERMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3906 RASBERRY DR N
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896-8638
Mailing Address - Country:US
Mailing Address - Phone:347-423-9924
Mailing Address - Fax:
Practice Address - Street 1:3906 RASBERRY DR N
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-8638
Practice Address - Country:US
Practice Address - Phone:347-423-9924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)