Provider Demographics
NPI:1255444550
Name:EFIRD, STEVEN NEAL (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:NEAL
Last Name:EFIRD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2627
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30514-2627
Mailing Address - Country:US
Mailing Address - Phone:706-781-6950
Mailing Address - Fax:706-781-6955
Practice Address - Street 1:37 HOSPITAL WAY BLDG 9
Practice Address - Street 2:SUITE B
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-3144
Practice Address - Country:US
Practice Address - Phone:706-781-6950
Practice Address - Fax:706-781-6955
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA035408174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00503269AMedicaid
GA02BDBWRMedicare ID - Type Unspecified
GA00503269AMedicaid