Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | 600006 | NC |
NPI | 1073671145 |
---|---|
Provider Name | Dorothy Gilbert Efird |
First Address | Siler City, NC 27344-2420 |
Second Address | Siler City, NC 27344-3071 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S70591 | (02) | NC |