MEDICARE: DR. SIDNEY LOY GULLEDGE III MD

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	207W00000X	Ophthalmology Physician	20908	NC

Other Identifiers

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

General Provider Information

NPI Number	:	1578533931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SIDNEY LOY GULLEDGE III MD

Provider Business Mailing Address
First Line	:	4301 LAKE BOONE TRL
Second Line	:	STE 200
City	:	RALEIGH
State	:	NC
Zip	:	27607-7507
Country	:	US
Telephone Number	:	919-782-5210
Fax Number	:	919-784-3384

Provider Business Practice Location Address
First Line	:	4301 LAKE BOONE TRL
Second Line	:	STE 200
City	:	RALEIGH
State	:	NC
Zip	:	27607-7507
Country	:	US
Telephone Number	:	919-782-5210
Fax Number	:

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

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	07/08/2007

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