Provider Demographics
NPI:1518842236
Name:ALLIANCE INTERNAL MEDICINE, PLLC
Entity type:Organization
Organization Name:ALLIANCE INTERNAL MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:IAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:FOXALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-768-8148
Mailing Address - Street 1:7833 BONFIRE DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28409-0005
Mailing Address - Country:US
Mailing Address - Phone:973-768-8148
Mailing Address - Fax:910-762-9483
Practice Address - Street 1:2215 CANTERWOOD DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7301
Practice Address - Country:US
Practice Address - Phone:910-762-4600
Practice Address - Fax:910-762-9483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care