Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 200401501 | NC |
NPI | 1023057049 |
---|---|
Provider Name | Dr. Edward Roland Gerrard JR. |
First Address | Hickory, NC 28601-3760 |
Second Address | Hickory, NC 28601-3760 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 01/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
89089CX | (05) | NC |
I29384 | (02) | NC |