MEDICARE: DOROTHY GILBERT EFIRD N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LG0600X	Gerontology Nurse Practitioner	600006	NC

General Provider Information

NPI Number	:	1073671145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOROTHY GILBERT EFIRD N.P.

Provider Business Mailing Address
First Line	:	403 W 10TH ST
Second Line	:
City	:	SILER CITY
State	:	NC
Zip	:	27344-2420
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 N FIR AVE
Second Line	:
City	:	SILER CITY
State	:	NC
Zip	:	27344-3071
Country	:	US
Telephone Number	:	919-742-6032
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	07/08/2007

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