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NPI Code Detail

MEDICARE: MS. SADIE GURLEY

MEDICARE: MS. SADIE GURLEY
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
11041C0700XClinical Social WorkerC001807NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528197407
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SADIE GURLEY
Provider Business Mailing Address
First Line : 1308 HIGHLAND DR
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-3424
Country : US
Telephone Number : 252-946-8061
Fax Number : 252-946-8078
Provider Business Practice Location Address
First Line : 1308 HIGHLAND DR
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-3424
Country : US
Telephone Number : 252-946-8061
Fax Number : 252-946-8078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 07/08/2007

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