Healthcare Provider Details

I. General information

NPI: 1093888737
Provider Name (Legal Business Name): MEICA MARIA EFIRD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 03/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E WOOD ST
SPARTANBURG SC
29303-3040
US

IV. Provider business mailing address

144 RAMSFORD LANE
SIMPSONVILLE SC
29681
US

V. Phone/Fax

Practice location:
  • Phone: 864-560-6288
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number29365
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: