Healthcare Provider Details

I. General information

NPI: 1255444550
Provider Name (Legal Business Name): STEVEN NEAL EFIRD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 09/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 HOSPITAL WAY BLDG 9 SUITE B
BLAIRSVILLE GA
30512-3144
US

IV. Provider business mailing address

PO BOX 2627
BLAIRSVILLE GA
30514-2627
US

V. Phone/Fax

Practice location:
  • Phone: 706-781-6950
  • Fax: 706-781-6955
Mailing address:
  • Phone: 706-781-6950
  • Fax: 706-781-6955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number035408
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: