Gulledge, Sidney Loy
Gulledge, Sidney Loy is an individual health care provider with primary practice located at 4301 Lake Boone Trl Ste 200, Raleigh NC 27607-7507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gulledge, Sidney Loy can be contacted via phone (919) 782-5210.Contact Information
Primary practice address
4301 Lake Boone Trl Ste 200
Raleigh NC 27607-7507
Phone: (919) 782-5210
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 20908 | North Carolina |
Profile Details
| NPI number | 1578533931 |
|---|---|
| LBN Legal business name | Gulledge, Sidney Loy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578533931 | NPPES |
| North Carolina | MEDICAID | 8937876 |
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